Organization
UNION COUNTY HEALTHCARE ASSOCIATES LLC
Active
Parent organization
MEDVANTX, INC.
Other names
Union County Healthcare Associates- Garwood
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
300 SOUTH AVE, GARWOOD, NJ 07027-1312
(908) 232-2273
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
25MA07616500
NJ
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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