institution
Pennsuaken Family Practice, Pc
General Practice Physician in Pennsauken, New Jersey
NPI 1518187392

Pennsuaken Family Practice, Pc is a General Practice Physician based in Pennsauken, NJ. Pennsuaken Family Practice, Pc practices in Pennsauken, NJ. The NPI Number for Pennsuaken Family Practice, Pc is 1518187392 and holds a License No. 61259 (New Jersey).

The current practice location address for Pennsuaken Family Practice, Pc is 5647 Westfield Ave, Pennsauken, NJ and can be reached out via phone at 856-663-1470 and via fax at 856-663-3409.

Location: 5647 Westfield Ave, Pennsauken, NJ, 08110-1836
institution
Provider Profile Details
NPI Number
1518187392
Provider Name
Pennsuaken Family Practice, Pc
Credential
Provider Entity Type
Organization
Address
5647 Westfield Ave, Pennsauken, NJ, 08110-1836
Phone Number
856-663-1470
Fax Number
856-663-3409
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0964523000 01 PA KEYSTONE
3370 01 PA AETNA
857996 05 NJ
institution
Provider Business Practice Location Address Details
Address
5647 Westfield Ave
City
State
Zip
08110-1836
Phone Number
856-663-1470
Fax Number
856-663-3409
person
Provider Business Mailing Address Details
Address
5647 Westfield Ave
City
State
Zip
08110-1836
Phone Number
856-663-1470
Fax Number
856-663-3409
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
61259 (New Jersey)
Definition
Definition to come...
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