| Woodbine Family Medical | |
|
713 Dehirsch Ave Woodbine NJ 08270-2339 | |
| (609) 861-4241 | |
| (609) 861-1071 |
| Full Name | Woodbine Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 713 Dehirsch Ave, Woodbine, New Jersey |
| Authorized Official Name and Position | Doris Jacob (OWNER) |
| Authorized Official Contact | 6098614241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbine Family Medical 713 Dehirsch Ave Woodbine NJ 08270-2339 Ph: (609) 861-4241 | Woodbine Family Medical 713 Dehirsch Ave Woodbine NJ 08270-2339 Ph: (609) 861-4241 |
| NPI Number | 1962794420 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 05/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962794420 | NPI | - | NPPES |
| 7011008 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB61909 (New Jersey) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 26NN1202500 (New Jersey) | Secondary |
Andrew F Drake, D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 838 Washington Ave, Woodbine, NJ 08270 Phone: 609-861-1700 Fax: 609-861-2945 |