Provider Demographics
NPI:1386875227
Name:QUALITY CARE FAMILY PRACTICE, INC.
Entity type:Organization
Organization Name:QUALITY CARE FAMILY PRACTICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-782-9123
Mailing Address - Street 1:403 RTE 202
Mailing Address - Street 2:2ND FLOOR NORTH
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-6037
Mailing Address - Country:US
Mailing Address - Phone:908-782-9123
Mailing Address - Fax:908-782-9176
Practice Address - Street 1:403 RT. 202 SOUTH
Practice Address - Street 2:2ND FLOOR NORTH
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822
Practice Address - Country:US
Practice Address - Phone:908-782-9123
Practice Address - Fax:908-782-9176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07388000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty