Organization
FAMILY MEDICINE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRA MANGRA MD (MD)
(973) 908-4754
Entity
Organization
Contact information
Practice address
73 CLARK ST, BLOOMINGDALE, NJ 07403-1300
(908) 822-9700
Mailing address
215 W FRONT ST, SUITE D, PLAINFIELD, NJ 07060-1166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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