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Organization

FAMILY PRACTICE MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARJORIE M CONDON MD (OWNER/PROVIDER)
(973) 839-1003
Entity
Organization

Contact information

Practice address
290 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1961
(973) 839-1003
(973) 839-3653
Mailing address
290 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1961
(973) 839-1003
(973) 839-3653

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB05411900
NJ

Other

Enumeration date
03/09/2015
Last updated
03/09/2015
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