Organization
CEDAR BROOK FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA LUCCI (OFFICE MANAGER)
(609) 567-2101
Entity
Organization
Contact information
Practice address
187 S ROUTE 73, SUITE B, HAMMONTON, NJ 08037-9423
(609) 567-2101
(609) 704-9351
Mailing address
PO BOX 327, CEDAR BROOK, NJ 08018-0327
(609) 567-2101
(609) 704-9351
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB055669
NJ
Other
Enumeration date
12/12/2006
Last updated
09/12/2012
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