| Wedgewood Family Practice Assoc P A | |
|
302 Hurffville Crosskeys Rd Suite A1 Sewell NJ 08080-9206 | |
| (856) 589-4610 | |
| (856) 589-1624 |
| Full Name | Wedgewood Family Practice Assoc P A |
|---|---|
| Speciality | Family Medicine |
| Location | 302 Hurffville Crosskeys Rd, Sewell, New Jersey |
| Authorized Official Name and Position | Barbara M Brusco (PRACTICE ADMINSTRATOR) |
| Authorized Official Contact | 8565894610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wedgewood Family Practice Assoc P A 302 Hurffville Crosskeys Rd Suite A1 Sewell NJ 08080-9206 Ph: (856) 589-4610 | Wedgewood Family Practice Assoc P A 302 Hurffville Crosskeys Rd Suite A1 Sewell NJ 08080-9206 Ph: (856) 589-4610 |
| NPI Number | 1578509030 |
|---|---|
| Provider Enumeration Date | 06/22/2006 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578509030 | NPI | - | NPPES |
| 2785005 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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