| Ideal Family Health, P.c. | |
|
291 S Van Brunt St Englewood NJ 07631-4632 | |
| (201) 568-1300 | |
| (201) 568-1320 |
| Full Name | Ideal Family Health, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 291 S Van Brunt St, Englewood, New Jersey |
| Authorized Official Name and Position | Marion Bobb-mckoy (PHYSICIAN) |
| Authorized Official Contact | 2015681300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Family Health, P.c. 164 Wood Rd Englewood Cliffs NJ 07632-1625 Ph: (201) 568-1300 | Ideal Family Health, P.c. 291 S Van Brunt St Englewood NJ 07631-4632 Ph: (201) 568-1300 |
| NPI Number | 1992827141 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992827141 | NPI | - | NPPES |
| MA064861 | Other | NJ | NEW JERSEY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MA064861 (New Jersey) | Primary |
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