Organization
FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA ROSE BARTALONE (MEDICAL ADMIN ASST)
(609) 561-0128
Entity
Organization
Contact information
Practice address
425 12TH ST MADISON AVE, HAMMONTON, NJ 08037
(609) 561-0128
(609) 567-8467
Mailing address
425 12TH ST MADISON AVE, HAMMONTON, NJ 08037
(609) 561-0128
(609) 567-8467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074650001
AMERIHEALTH
—
05
—
1890107
—
NJ
01
—
995004
UNITED HEALTH CARE
—
01
—
P380243
OXFORD
—
Enumeration date
10/05/2006
Last updated
02/18/2011
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