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Organization
ALLENTOWN MEDICAL ASSOCIATES
Active
Organization
ALLENTOWN MEDICAL ASSOCIATES
Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (SR DIRECTOR OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
163 BURLINGTON PATH RD, L, CREAM RIDGE, NJ 08514-1622
(609) 758-1100
Mailing address
5810 NANCY RIDGE DR, 100, SAN DIEGO, CA 92121-2834
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MA047072
NJ
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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