Organization
OCEAN COUNTY FAMILY CARE, P.A.
Active
Parent organization
MEDVANTX, INC.
Other names
Ocean County Family Care - Jackson
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
MR. KENNY HEINE (VP OF OPERATIONS)
(858) 964-1506
Entity
Organization
Contact information
Practice address
27 COOKS BRIDGE ROAD, SUITE 2-2, JACKSON, NJ 08527
(732) 370-4222
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
25MA08551100
NJ
Other
Enumeration date
02/08/2007
Last updated
12/22/2014
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