Organization
FIRST MED FAMILY HEALTH CARE LLC
Active
Parent organization
MEDVANTX, INC.
Other names
First Med Family Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
244 LIVINGSTON ST, NORTHVALE, NJ 07647-1996
(201) 768-1200
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
26NJ00579800
NJ
Other
Enumeration date
05/23/2013
Last updated
01/08/2016
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