Organization
FAMILYCARE MEDICAL GROUP PC
Active
Parent organization
MEDVANTX
Other names
Brighton Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX
Authorized official
SCOTT PETERSON (CFO)
(858) 628-2990
Entity
Organization
Contact information
Practice address
182 INTREPID LN, SYRACUSE, NY 13205-2545
(315) 218-7020
Mailing address
9276 SCRANTON RD, SUITE 100, SAN DIEGO, CA 92121-7701
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
203406
NY
Other
Enumeration date
12/19/2013
Last updated
01/13/2017
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