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FAMILY PRACTICE MEDICAL NPI 1194882183


NPI Information

NPI: 1194882183
Provider Name: FAMILY PRACTICE MEDICAL
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 31D0117085

Address:
3814 CHURCH RD
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 231-9792
Get Directions

FAMILY PRACTICE MEDICAL is a geriatric medicine family medicine in Mount Laurel, NJ. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. FAMILY PRACTICE MEDICAL NPI is 1194882183. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3814 CHURCH RD
MOUNT LAUREL, NJ
ZIP 08054-106
Phone: (856) 231-9792

The provider's authorized official is Peggy A Kelly .
The authorized official title is Office Manager and has the following contact phone number (856) 231-9792.

The CLIA number assigned to this NPI record is 31D0117085 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineMB44700NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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