| Organization Name: | FAMILY CARE,P.A. |
| NPI Number: | 1225221989 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN CHAFOS (PRACTICE OWNER) |
| Mailing Address: | 257 Route 22 E Green Brook |
| State: | NJ US |
| Postal Code: | 08812 |
| Phone Number: | 7329687878 |
| Fax Number: | 7329687557 |
| NPI Enumeration Date: | 08/24/2007 |
| NPI Last Update Date: | 08/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 25MA08174900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |