| Harbor Family Practice Pc | |
|
376 96th St Stone Harbor NJ 08247-1404 | |
| (609) 967-0070 | |
| (609) 967-0077 |
| Full Name | Harbor Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 376 96th St, Stone Harbor, New Jersey |
| Authorized Official Name and Position | Tara Vogdes (OWNER) |
| Authorized Official Contact | 6099670070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Family Practice Pc 336 96th St Suite 1 Stone Harbor NJ 08247-1439 Ph: (609) 967-0070 | Harbor Family Practice Pc 376 96th St Stone Harbor NJ 08247-1404 Ph: (609) 967-0070 |
| NPI Number | 1073683660 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 10/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073683660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB07211700 (New Jersey) | Primary |
96th Street Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 96th St, Suite # 2, Stone Harbor, NJ 08247 Phone: 609-368-3500 Fax: 609-967-0077 |