NPI 1801420948 · live from the CMS NPI Registry
Amazing Grace Medical Center LLC
Family Medicine in Phillipsburg, NJ. National Provider Identifier 1801420948, active.
NPI record
| NPI | 1801420948 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 445 Marshall St, Phillipsburg, NJ 08865 |
| Practice phone | 609-582-0899 |
| Mailing address | 4995 Derby Ln, Bethlehem, PA 18020 |
| Enumerated | February 27, 2020 |
| Last updated | February 27, 2020 |
| Authorized official | Ebere Ezeanya, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.