| Family Wellness Center Pc | |
|
1680 State Hwy 35 Middletown NJ 07748 | |
| (732) 671-3730 | |
| (732) 706-1078 |
| Full Name | Family Wellness Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1680 State Hwy 35, Middletown, New Jersey |
| Authorized Official Name and Position | David B Dornfeld (OWNER) |
| Authorized Official Contact | 7326713730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness Center Pc 1680 State Hwy 35 Middletown NJ 07748 Ph: (732) 671-3730 | Family Wellness Center Pc 1680 State Hwy 35 Middletown NJ 07748 Ph: (732) 671-3730 |
| NPI Number | 1427020635 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 02/06/2008 |
| Medicare PECOS PAC ID | 1658366653 |
|---|---|
| Medicare Enrollment ID | O20040419000981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427020635 | NPI | - | NPPES |
| 5112109 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB04895800 (New Jersey) | Primary |
| Provider Name | Mary Ann M Yehl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003958604 PECOS PAC ID: 5799962338 Enrollment ID: I20110607000553 |
| Provider Name | Giulio Bianchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447244124 PECOS PAC ID: 3375670912 Enrollment ID: I20190201000656 |
| Provider Name | Andrew E Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750732954 PECOS PAC ID: 8224360524 Enrollment ID: I20191105001872 |
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