Family Practice Medical
Family Practice Medical is a Geriatric Medicine (Family Medicine) Physician in Mount Laurel, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.
- Licensed in
- NJ
- In the registry since
- 2007
Practice location Address checks out
3814 Church RdMount Laurel, NJ 08054-1106
Phone: (856) 231-9792
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Medicine (Family Medicine) Physician (primary) | Taxonomy 207QG0300X · Licence MB44700 (NJ) |
|---|
Record details
| NPI number | 1194882183 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peggy Kelly — Office Manager · (856) 231-9792 |
| NPI enumerated | January 2, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 3814 Church Rd, Mount Laurel, NJ 08054-1106 |