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Organization

FAMILY WALK-IN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VINCENT DESTASIO MD (OWNER)
(732) 905-5255
Entity
Organization

Contact information

Practice address
4013 ROUTE 9 NORTH, HOWELL, NJ 07731
(732) 905-5255
(732) 905-5266
Mailing address
4013 ROUTE 9 NORTH, HOWELL, NJ 07731
(732) 905-5255
(732) 905-5266

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
06/12/2007
Last updated
07/01/2010
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