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NPI Code Detail

MEDICARE: MARTINSVILLE FAMILY PRACTICE PA

MEDICARE: MARTINSVILLE FAMILY PRACTICE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1467540302
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTINSVILLE FAMILY PRACTICE PA
Provider Business Mailing Address
First Line : 1973 WASHINGTON VALLEY RD
Second Line :
City : MARTINSVILLE
State : NJ
Zip : 08836-2053
Country : US
Telephone Number : 732-560-9225
Fax Number : 732-560-8095
Provider Business Practice Location Address
First Line : 1973 WASHINGTON VALLEY RD
Second Line :
City : MARTINSVILLE
State : NJ
Zip : 08836-2053
Country : US
Telephone Number : 732-560-9225
Fax Number : 732-560-8095
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. ANTHONY FRISOLI
Credential : MD
Telephone Number : 732-560-9225
Provider Enumeration Date : 10/10/2006
Last Update Date : 08/22/2020

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Directions to “MARTINSVILLE FAMILY PRACTICE PA ” Practice Location

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