Organization
FAMILY MEDICAL GROUP SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE STEVENSON (DIRECTOR OF OPERATIONS)
(862) 520-3902
Entity
Organization
Contact information
Practice address
134 EVERGREEN PL STE 501, EAST ORANGE, NJ 07018-2010
(862) 520-3902
(862) 520-3895
Mailing address
134 EVERGREEN PL STE 501, EAST ORANGE, NJ 07018-2010
(862) 520-3902
(862) 520-3895
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NJ
Other
Enumeration date
09/17/2010
Last updated
08/02/2012
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