| Odell Family Practice, Llc | |
|
119 Avenue At The Cmn Ste 2 Shrewsbury NJ 07702-4586 | |
| (732) 460-1313 | |
| (732) 460-1333 |
| Full Name | Odell Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 119 Avenue At The Cmn Ste 2, Shrewsbury, New Jersey |
| Authorized Official Name and Position | Tamara Odell (PRESIDENT) |
| Authorized Official Contact | 7324857515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odell Family Practice, Llc 119 Avenue At The Cmn Ste 2 Shrewsbury NJ 07702-4586 Ph: (732) 460-1313 | Odell Family Practice, Llc 119 Avenue At The Cmn Ste 2 Shrewsbury NJ 07702-4586 Ph: (732) 460-1313 |
| NPI Number | 1588067219 |
|---|---|
| Provider Enumeration Date | 10/08/2014 |
| Last Update Date | 10/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588067219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB08626600 (New Jersey) | Primary |
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