Organization
NORTH SUBURBAN FAMILY HEALTH CENTER
Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
MR. KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
4284 WILLIAM FLYNN HWY, SUITE 102, ALLISON PARK, PA 15101-1439
(412) 486-8677
Mailing address
5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA 92121-1705
(858) 625-2990
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD016075E
PA
Other
Enumeration date
02/13/2007
Last updated
10/16/2012
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