TABERNACLE FAMILY PHYSICIANS LLC NPI 1437203874

NPI Information

NPI: 1437203874
Provider Name: TABERNACLE FAMILY PHYSICIANS LLC

Doing Business As: TABERNACLE FAMILY MEDICINE

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1529 ROUTE 206
SUITE L
TABERNACLE, NJ
ZIP 08088
Phone: (609) 268-0707
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TABERNACLE FAMILY PHYSICIANS LLC is a health service clinic center in Tabernacle, NJ. TABERNACLE FAMILY PHYSICIANS LLC NPI is 1437203874. The provider is registered as an organization entity type.
The provider Is Doing Business As Tabernacle Family Medicine.

The provider's business location address is:

1529 ROUTE 206
SUITE L
TABERNACLE, NJ
ZIP 08088-801
Phone: (609) 268-0707
Fax: (609) 268-7191

The provider's authorized official is Parag S Patel .
The authorized official title is Partner and has the following contact phone number (609) 268-0707.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 9/10/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110215	MEDICARE PIN
2	=========	OTHER	NEW JERSEY	TAX ID

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: 5/5/2024

NPI Synchronization or Removal

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