NPI | 1760886139 |
---|---|
Doing Business As | MERIDIAN JS MONMOUTH FAMILY MEDICINE GROUP AT HOWELL JACKSON MEDICAL C |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-964-1506 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NJ 25MA09443900) |
Enumeration Date | 2014-10-14 |
Last Update Date | 2022-09-28 |