Organization
FAMILY HEALTH PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QUINCY L HAYWOOD JR. (CEO/ OWNER)
(973) 207-1147
Entity
Organization
Contact information
Practice address
450 MARTIN LUTHER KING JR DR, JERSEY CITY, NJ 07304-4218
(973) 207-1147
Mailing address
PO BOX 2042, BLOOMFIELD, NJ 07003-2042
(973) 207-1147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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