Provider Demographics
NPI:1235311671
Name:CENTER FOR FAMILY HEALTH, LLC
Entity Type:Organization
Organization Name:CENTER FOR FAMILY HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUCILLE
Authorized Official - Middle Name:T
Authorized Official - Last Name:LEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-534-5559
Mailing Address - Street 1:431 ROUTE 22 EAST
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889
Mailing Address - Country:US
Mailing Address - Phone:908-534-5559
Mailing Address - Fax:908-534-4166
Practice Address - Street 1:431 ROUTE 22 EAST
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889
Practice Address - Country:US
Practice Address - Phone:908-534-5559
Practice Address - Fax:908-534-4166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ555323Medicare PIN