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Family Medicine Center — NPI 1992041107, Little Egg Harbor Twp, NJ | NPI Central

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NPI 1992041107

OrganizationActive

Family Medicine Center

NPI 1992041107 · Non-Pharmacy Dispensing Site · Little Egg Harbor Twp, NJ

Provider details

NPI number: 1992041107
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Organization subpart: Yes
Authorized official: Kenny Heine, Vp Ops(858) 964-1506
License: 25MB052176 (NC)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense 25MB052176 (NC)
Suppliers

Practice location

279 Mathistown Rd

Little Egg Harbor Twp, NJ 08087-4021

Phone: (609) 296-1101

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Other names (DBA / former)

Doing business as: Family Medicine Center - Little Egg Harbor

Registry dates

Enumerated: 2012-12-14
Last updated: 2012-12-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.