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Avenel Iselin Medical Group Pa
Non-Pharmacy Dispensing Site in Iselin, New Jersey
NPI 1669717864

Avenel Iselin Medical Group Pa is a Non-Pharmacy Dispensing Site based in San Diego, NJ. Avenel Iselin Medical Group Pa practices in Iselin, NJ. The NPI Number for Avenel Iselin Medical Group Pa is 1669717864 and holds a License No. 25MA05991500 (New Jersey).

The current practice location address for Avenel Iselin Medical Group Pa is 400 Gill Ln, Iselin, NJ and can be reached out via phone at 732-404-1580.

Location: 400 Gill Ln, Iselin, NJ, 92121-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669717864
Provider Name
Avenel Iselin Medical Group Pa
Credential
Provider Entity Type
Organization
Address
400 Gill Ln, Iselin, NJ, 92121-1705
Phone Number
732-404-1580
Fax Number
Provider Enumeration Date
11/29/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 Gill Ln
City
Iselin
State
New Jersey
Zip
08830-3059
Phone Number
732-404-1580
Fax Number
person
Provider Business Mailing Address Details
Address
400 Gill Ln
City
Iselin
State
New Jersey
Zip
08830-3059
Phone Number
732-404-1580
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
25MA05991500 (New Jersey)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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