Organization Name: | FAMILY FIRST PRIMARY PHYSICIANS L.L.C. |
NPI Number: | 1174961189 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD MOJARES (PRESIDENT) |
Mailing Address: | 1806 Highway 35 Suite 107 Oakhurst |
State: | NJ US |
Postal Code: | 077552700 |
Phone Number: | 7325314747 |
Fax Number: | 7326630044 |
NPI Enumeration Date: | 06/12/2013 |
NPI Last Update Date: | 08/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 25MA07213400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |