| NPI | 1477881472 |
|---|---|
| Former Legal Business Name | PHOENIX MEDICAL GROUP OF MEDFORD |
| Entity Type | Organization |
| Authorized Contact | JEFFREY CHARLES OPPENHEIM Owner 856-231-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |