Organization
ALLENTOWN MEDICAL ASSOCIATES
Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (SR DIRECTOR OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
163 BURLINGTON PATH RD, L, CREAM RIDGE, NJ 08514-1622
(609) 758-1100
Mailing address
5810 NANCY RIDGE DR, 100, SAN DIEGO, CA 92121-2834
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MA047072
NJ
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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