OrganizationActive
Cranford Family Practice
NPI 1194005876 · Non-Pharmacy Dispensing Site · Cranford, NJ
Provider details
- NPI number
- 1194005876
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 625-2990
- License
- MD417016 (NJ)
Specialties & taxonomies
Suppliers
Practice location
570 South Ave E
Building G-Unit
Cranford, NJ 07016-3200
Phone: (908) 272-7970
Approximate (ZIP-level) locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2011-08-25
- Last updated
- 2015-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.