Healthcare Provider Details
I. General information
NPI: 1437246683
Provider Name (Legal Business Name): COLUMBUS FAMILY PHYSICIANS; LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2006
Last Update Date: 02/15/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23659 COLUMBUS RD SUITE 4
COLUMBUS NJ
08022-1979
US
IV. Provider business mailing address
23659 COLUMBUS RD SUITE 4
COLUMBUS NJ
08022-1979
US
V. Phone/Fax
- Phone: 609-298-3304
- Fax: 609-298-7091
- Phone: 609-298-3304
- Fax: 609-298-7091
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: DR.
CHRISTOPHER
VARE
Title or Position: SENIOR PHYSICIAN
Credential: MD
Phone: 609-298-3304