Organization
JULIO HIP-FLORES MD PA
Active
Parent organization
MEDVANTX, INC.
Other names
Medical Associates of Central Jersey Group
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
4 E HIGH ST, BOUND BROOK, NJ 08805-1946
(732) 356-8100
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MA03388900
NJ
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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