Organization
GENESIS MEDICAL ASSOCIATES INC
Active
Parent organization
MEDVANTX, INC.
Other names
Northern Area Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNEY HEINE (VP OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
5700 CORPORATE DR, BUILDING 3 SUITE 700, PITTSBURGH, PA 15237-5861
(412) 630-2670
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD027156E
PA
Other
Enumeration date
02/09/2011
Last updated
04/30/2013
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