| Jmd Family Practice, L.l.c | |
|
2 Kings Ct Ste 203 Flemington NJ 08822-6019 | |
| (908) 751-5439 | |
| (908) 751-5478 |
| Full Name | Jmd Family Practice, L.l.c |
|---|---|
| Speciality | Family Medicine |
| Location | 2 Kings Ct Ste 203, Flemington, New Jersey |
| Authorized Official Name and Position | John Mcdonough (OWNER) |
| Authorized Official Contact | 9087887846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jmd Family Practice, L.l.c 2 Kings Ct Ste 203 Flemington NJ 08822-6019 Ph: (908) 751-5439 | Jmd Family Practice, L.l.c 2 Kings Ct Ste 203 Flemington NJ 08822-6019 Ph: (908) 751-5439 |
| NPI Number | 1982014791 |
|---|---|
| Provider Enumeration Date | 05/01/2014 |
| Last Update Date | 09/26/2014 |
| Medicare PECOS PAC ID | 1153541610 |
|---|---|
| Medicare Enrollment ID | O20141003001485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982014791 | NPI | - | NPPES |
| 6274102 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA05652500 (New Jersey) | Primary |
| Provider Name | John R Mcdonough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942285549 PECOS PAC ID: 1658367891 Enrollment ID: I20040422000939 |
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