Organization
RARITAN FAMILY HEALTHCARE PA
Active
Parent organization
MEDVANTX, INC.
Other names
Raritan Family Health Care - Raritan
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
901 US HIGHWAY 202, RARITAN, NJ 08869-1419
(858) 625-2990
Mailing address
5626 OBERLIN DR, 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MB06573300
NJ
Other
Enumeration date
10/08/2014
Last updated
10/15/2014
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