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GLENDALE PRIMARY CARE LLC NPI 1588765291


NPI Information

NPI: 1588765291
Provider Name: GLENDALE PRIMARY CARE LLC

Doing Business As: GLENDALE PRIMARY CARE

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
9 W BROWNING RD # A
BELLMAWR, NJ
ZIP 08031
Phone: (856) 931-6950
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GLENDALE PRIMARY CARE LLC is an adult medicine family medicine in Bellmawr, NJ. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. GLENDALE PRIMARY CARE LLC NPI is 1588765291. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Glendale Primary Care.

The provider's business location address is:

9 W BROWNING RD # A
BELLMAWR, NJ
ZIP 08031-297
Phone: (856) 931-6950
Fax: (856) 931-6951

The provider's authorized official is Matthew G Pinto .
The authorized official title is Owner/physician and has the following contact phone number (856) 931-6950.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 6/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult Medicine25MB07937100NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERNEW JERSEYTAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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