Organization
NORTHEAST FAMILY HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MGMT)
(856) 533-8762
Entity
Organization
Contact information
Practice address
1040 S WEST END BLVD, QUAKERTOWN, PA 18951-2634
(610) 438-1278
(610) 252-0432
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(856) 439-6111
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
12/23/2019
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