MEDICARE: FAMILY PRACTICE ASSOCIATES OF CUMBERLAND CO PC

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1699703587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY PRACTICE ASSOCIATES OF CUMBERLAND CO PC

Provider Business Mailing Address
First Line	:	230 LAUREL HEIGHTS DRIVE
Second Line	:
City	:	BRIDGETON
State	:	NJ
Zip	:	08302-3634
Country	:	US
Telephone Number	:	856-451-9595
Fax Number	:	856-451-4130

Provider Business Practice Location Address
First Line	:	230 LAUREL HEIGHTS DRIVE
Second Line	:
City	:	BRIDGETON
State	:	NJ
Zip	:	08302-3634
Country	:	US
Telephone Number	:	856-451-9595
Fax Number	:	856-451-4130

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN GREGORY BEAR
Credential	:	MD
Telephone Number	:	856-451-9595

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	08/22/2020

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