Organization
HUNTERDON FAMILY PRACTICE & OBSTETRICS
Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (VP OPS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
1100 WESTCOTT DRIVE, 101, FLEMINGTON, NJ 08822
(908) 788-6535
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
25MA02738600
NJ
Other
Enumeration date
10/18/2012
Last updated
10/25/2012
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