Organization
PRIMARY CARE PARTNERS LLC
Active
Parent organization
MEDVANTX, INC.
Other names
Bernards Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
665 MARTINSVILLE RD, SUITE 218, BASKING RIDGE, NJ 07920-4700
(908) 607-1877
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
25MB06256400
NJ
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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