| 96th Street Urgent Care | |
|
376 96th St Suite # 2 Stone Harbor NJ 08247-1404 | |
| (609) 368-3500 | |
| (609) 967-0077 |
| Full Name | 96th Street Urgent Care |
|---|---|
| Speciality | Family Medicine |
| Location | 376 96th St, Stone Harbor, New Jersey |
| Authorized Official Name and Position | Tara A Vogdes (OWNER) |
| Authorized Official Contact | 6099670070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 96th Street Urgent Care 376 96th St Suite # 2 Stone Harbor NJ 08247-1404 Ph: (609) 368-3500 | 96th Street Urgent Care 376 96th St Suite # 2 Stone Harbor NJ 08247-1404 Ph: (609) 368-3500 |
| NPI Number | 1235359001 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235359001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB72117 (New Jersey) | Primary |
Harbor Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 96th St, Stone Harbor, NJ 08247 Phone: 609-967-0070 Fax: 609-967-0077 |