Avenel Iselin Medical Group, LLC
Avenel Iselin Medical Group, LLC is a Non-Pharmacy Dispensing Site in Iselin, New Jersey. Licensed in New Jersey. Registered with an NPI since 2012.
- Licensed in
- NJ
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
400 Gill Ln 1Iselin, NJ 08830-3059
Phone: (732) 404-1580
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence 25MA05991500 (NJ) |
|---|
Record details
| NPI number | 1669717864 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Medvantx, Inc |
| Authorized official | Kenny Heine — Vp Ops · (858) 964-1506 |
| Other names | Avenel Iselin Medical Group |
| NPI enumerated | November 29, 2012 |
| Last updated in NPPES | October 4, 2024 |
| Certification date | October 4, 2024 |
| Mailing address | 5626 Oberlin Dr, 110, San Diego, CA 92121-1705 |