Edison Family Practice Pc

LBN: Edison Family Practice
Edison Family Practice Pc is an health care organization with primary practice located at 616 Grove Ave , Edison NJ 08820-3212. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Edison Family Practice can be contacted via phone (732) 548-6303, or through Flores Dieppa, Maria S via phone (732) 548-6303.

Contact Information

Primary practice address
616 Grove Ave Edison NJ 08820-3212
Phone: (732) 548-6303
Fax: (732) 549-4676
Website:
Map and Directions
Authorized official contact:
Name: Flores Dieppa, Maria S Doctor of Medicine (MD)
Phone: (732) 548-6303

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MA45007 New Jersey

Profile Details

NPI number 1548546286
LBN Legal business name Edison Family Practice
DBA Doing business as Edison Family Practice Pc
Authorized official Flores Dieppa, Maria S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2011
Last updated Jan 11th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548546286 NPPES
New Jersey MEDICAID 25MAO4500700ANI

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