Organization
CENTER CITY FAMILY PRACTICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY HENDRICKSON (OFFICE MANAGER)
(609) 347-7333
Entity
Organization
Contact information
Practice address
2512 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-6502
(609) 347-7333
(609) 347-1632
Mailing address
2512 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-6502
(609) 347-7333
(609) 347-1632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5100208
—
NJ
Enumeration date
12/05/2006
Last updated
10/01/2010
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