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1194033613
FAMILY MEDICAL GROUP SERVICES LLC
EAST ORANGE, NJ
NPI
1194033613
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Entity Type
Organization
Authorized Contact
CLARENCE STEVENSON
Director Of Operations
862-520-3902
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2010-09-17
Last Update Date
2012-08-02
Business Address
FAMILY MEDICAL GROUP SERVICES LLC
134 EVERGREEN PL STE 501
EAST ORANGE, NJ 07018-2010
Phone number: 862-520-3902
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Mailing Address
FAMILY MEDICAL GROUP SERVICES LLC
134 EVERGREEN PL STE 501
EAST ORANGE, NJ 07018-2010
Phone number: 862-520-3902
Copy
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