Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glendora Family Practice LLC

Organization Family Medicine Physician · NPI 1750336392

Glendora Family Practice LLC is a Family Medicine Physician in Glendora, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 Black Horse Pike
Glendora, NJ 08029-1308
Phone: (856) 939-2828
Fax: (856) 939-5057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MB06092600 (NJ)

Record details

NPI number1750336392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Blank — President · (856) 939-2828
NPI enumeratedMay 23, 2006
Last updated in NPPESJanuary 2, 2009
Mailing address1300 Black Horse Pike, Glendora, NJ 08029-1308

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