Organization
ODELL FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA ODELL DO (PRESIDENT)
(732) 485-7515
Entity
Organization
Contact information
Practice address
119 AVENUE AT THE CMN STE 2, SHREWSBURY, NJ 07702-4586
(732) 460-1313
(732) 460-1333
Mailing address
119 AVENUE AT THE CMN STE 2, SHREWSBURY, NJ 07702-4586
(732) 460-1313
(732) 460-1333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB08626600
NJ
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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