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Medicafund, LLC

Preferred Provider Organization in Whippany, NJ. Organization (NPI-2).

NPI number1891035002
StatusActive
Last updated in NPPESFeb 25, 2013

Details

NPI
1891035002
Entity type
Organization (NPI-2)
Legal business name
Medicafund, LLC
Organization subpart
No
Enumeration date
Feb 25, 2013
Last updated
Feb 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305R00000X Preferred Provider Organization––Yes

Practice location

110 S Jefferson Rd
Suite 201
Whippany, NJ 07981-1038

Phone 973-451-9415

Mailing address

110 S Jefferson Rd
Suite 201
Whippany, NJ 07981-1038

Authorized official

Patrick Knipe
Network Operations Manager
9734518227

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