| R-health Primary Care Medical Home Llc | |
|
405 Northfield Ave West Orange NJ 07052-3026 | |
| (215) 600-4590 | |
| Not Available |
| Full Name | R-health Primary Care Medical Home Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 405 Northfield Ave, West Orange, New Jersey |
| Authorized Official Name and Position | Nancy Meisinger (CHIEF CLINICAL OPERATIONS OFFICER) |
| Authorized Official Contact | 2156004593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R-health Primary Care Medical Home Llc 210 Yorktown Plz Elkins Park PA 19027-1424 Ph: (215) 600-4590 | R-health Primary Care Medical Home Llc 405 Northfield Ave West Orange NJ 07052-3026 Ph: (215) 600-4590 |
| NPI Number | 1952863490 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 04/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952863490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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