Healthcare Provider Details
I. General information
NPI: 1376480277
Provider Name (Legal Business Name): LIVE FAMILY CARE BURLINGTON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1801-1805 MOUNT HOLLY ROAD SUITE 3
BURLINGTON NJ
08016
US
IV. Provider business mailing address
300 CARNEGIE CTR STE 150
PRINCETON NJ
08540-6285
US
V. Phone/Fax
- Phone: 609-797-3320
- Fax:
- Phone: 609-900-3310
- Fax: 609-900-3310
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BROWLYN
MARQUEZ
Title or Position: CEO, APN
Credential: APN
Phone: 732-621-9198