Organization
THOMAS F CARMEN, M.D. AND ASSOCIATES
Active
Parent organization
MEDVANTX, INC.
Other names
Thomas F Carmen, M.D. and Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
11676 PERRY HWY, WEXFORD PROFESSIONAL BUILDING 1 SUITE 1201, WEXFORD, PA 15090-7201
(724) 934-1900
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
(858) 625-2990
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD036862
PA
Other
Enumeration date
04/09/2008
Last updated
10/22/2012
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