Organization
MEETINGHOUSE FAMILY PHYSICIANS PA
Active
Parent organization
MEDVANTX, INC
Other names
Meetinghouse Family Physicians
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
330 GREENTREE RD, MARLTON, NJ 08053-9427
(856) 596-9050
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
25MB06566000
NJ
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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