Wedgewood Family Practice Assoc P A

LBN: Wedgewood Family Practice Assoc P A
Wedgewood Family Practice Assoc P A is an health care organization with primary practice located at 302 Hurffville Crosskeys Rd Suite A1, Sewell NJ 08080-9206. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wedgewood Family Practice Assoc P A can be contacted via phone (856) 589-4610, or through Brusco, Barbara M via phone (856) 589-4610.

Contact Information

Primary practice address
302 Hurffville Crosskeys Rd Suite A1 Sewell NJ 08080-9206
Phone: (856) 589-4610
Fax: (856) 589-1624
Website:
Map and Directions
Authorized official contact:
Name: Brusco, Barbara M
Phone: (856) 589-4610

Health care specialties

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

Profile Details

NPI number 1578509030
LBN Legal business name Wedgewood Family Practice Assoc P A
DBA Doing business as
Authorized official Brusco, Barbara M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Sep 19th, 2014 - 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 1578509030 NPPES
New Jersey MEDICAID 2785005

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