# FAMILY MEDICINE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDVANTX, INC.
- **Other names:** FAMILY MEDICINE CENTER - LITTLE EGG HARBOR
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992041107
- **Legal business name:** MEDVANTX, INC.
- **Authorized official:** KENNY HEINE (VP OPS)
- **Authorized official phone:** (858) 964-1506

## Contact information

- **Practice address:** 279 MATHISTOWN RD, LITTLE EGG HARBOR TWP, NJ 08087-4021
- **Practice address phone:** (609) 296-1101
- **Mailing address:** 5626 OBERLIN DR, 110, SAN DIEGO, CA 92121-1705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 25MB052176 | NC | Yes |

## Other

- **Enumeration date:** 12/14/2012
- **Last updated:** 12/14/2012