Organization · NPI-2

Harbor Family Practice PC

Family Medicine · Stone Harbor, NJ

NPI number1073683660
StatusActive
Last updated in NPPESOct 15, 2009

Details

NPI
1073683660
Entity type
Organization (NPI-2)
Legal business name
Harbor Family Practice PC
Organization subpart
No
Enumeration date
Nov 9, 2006
Last updated
Oct 15, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine25MB07211700NJYes

Practice location

376 96th St
Stone Harbor, NJ 08247-1404

Phone 609-967-0070 · Fax 609-967-0077

Mailing address

336 96th St
Suite 1
Stone Harbor, NJ 08247-1439

Phone 609-967-0070 · Fax 609-967-0077

Authorized official

Tara Vogdes
Owner
6099670070

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