| NPI | 1992041107 |
|---|---|
| Doing Business As | FAMILY MEDICINE CENTER - LITTLE EGG HARBOR |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP Ops 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NC 25MB052176) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2012-12-14 |