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Organization
NORTHEAST FAMILY HEALTH CARE, LLC
Active
Organization
NORTHEAST FAMILY HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
(856) 533-8762
Entity
Organization
Contact information
Practice address
1040 S WEST END BLVD, QUAKERTOWN, PA 18951-2634
(610) 438-1278
(610) 252-0432
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(856) 439-6111
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
12/23/2019
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