| Libra Family Care Center Pc | |
|
74 Brick Blvd Buildign 4 - Suite 117 Brick NJ 08723-7984 | |
| (732) 797-0097 | |
| (732) 797-1880 |
| Full Name | Libra Family Care Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 74 Brick Blvd, Brick, New Jersey |
| Authorized Official Name and Position | Vincent J. Thompson (PRESIDENT) |
| Authorized Official Contact | 7327970097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Libra Family Care Center Pc 74 Brick Blvd Building 4 - Suite 117 Brick NJ 08723-7984 Ph: (732) 797-0097 | Libra Family Care Center Pc 74 Brick Blvd Buildign 4 - Suite 117 Brick NJ 08723-7984 Ph: (732) 797-0097 |
| NPI Number | 1710133384 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 01/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710133384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA07793400 (New Jersey) | Primary |
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