Organization
PENN FAMILY MEDICINE AT CHERRY HILL
Active
Parent organization
MEDVANTX, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDVANTX, INC.
Authorized official
KENNY HEINE (DIRECTOR OF OPERATIONS)
(858) 625-2990
Entity
Organization
Contact information
Practice address
409 MARLTON PIKE E, CHERRY HILL, NJ 08034-2413
(856) 427-4336
Mailing address
5810 NANCY RIDGE DR, SAN DIEGO, CA 92121-2834
(858) 625-2990
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
25MA05022600
NJ
Other
Enumeration date
02/12/2007
Last updated
08/23/2010
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