Organization
MY HOME TELEMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE S TRUMBAUER DNP, APN,BC (OWNER, CEO)
(609) 432-5417
Entity
Organization
Contact information
Practice address
1156 PIEDMONT RD, VENICE, FL 34293-4843
(609) 432-5417
Mailing address
106 ANITA DR, EGG HARBOR TOWNSHIP, NJ 08234-7522
(609) 432-5417
(609) 788-8111
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60062926
—
NJ
Enumeration date
03/29/2021
Last updated
03/29/2021
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