Provider Demographics
NPI:1982891750
Name:FAMILY MEDICINE CENTER, INC.
Entity type:Organization
Organization Name:FAMILY MEDICINE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KIELAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-283-9300
Mailing Address - Street 1:45 CAREY AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BUTLER
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-1443
Mailing Address - Country:US
Mailing Address - Phone:973-283-9300
Mailing Address - Fax:973-283-9311
Practice Address - Street 1:45 CAREY AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:BUTLER
Practice Address - State:NJ
Practice Address - Zip Code:07405-1443
Practice Address - Country:US
Practice Address - Phone:973-283-9300
Practice Address - Fax:973-283-9311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA43006174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty