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Organization
FAMILY HEALTH CENTER
Active
Organization
FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GAETA D.C. (PHYSICIAN)
(856) 856-7577
Entity
Organization
Contact information
Practice address
630 SALEM AVE, WOODBURY, NJ 08096-3118
(856) 853-7577
(856) 845-7829
Mailing address
630 SALEM AVE, WOODBURY, NJ 08096-3118
(856) 853-7577
(856) 845-7829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00802909
HIGHMARK BS ID#
NJ
01
—
0819253000
AMERIHEATLH GROUP ID #
NJ
01
—
2663629
AETNA GROUP ID
NJ
Enumeration date
05/21/2006
Last updated
10/07/2008
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