Main Street Family Medicine, Pa

LBN: Main Street Family Medicine, Pa
Main Street Family Medicine, Pa is an health care organization with primary practice located at 111 Vine St , Hammonton NJ 08037-1447. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Main Street Family Medicine, Pa can be contacted via phone (609) 561-2518, or through Crane, Walter D via phone (609) 561-2518.

Contact Information

Primary practice address
111 Vine St Hammonton NJ 08037-1447
Phone: (609) 561-2518
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crane, Walter D Doctor of Osteopathy (DO)
Phone: (609) 561-2518

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MB42970 New Jersey

Profile Details

NPI number 1467510008
LBN Legal business name Main Street Family Medicine, Pa
DBA Doing business as
Authorized official Crane, Walter D Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Apr 18th, 2008 - about 16 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 1467510008 NPPES
New Jersey MEDICAID 3411001

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