Provider Demographics
NPI:1609884790
Name:OUR FAMILY PRACTICE
Entity Type:Organization
Organization Name:OUR FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CASCARINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-840-8177
Mailing Address - Street 1:1899 ROUTE 88
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3124
Mailing Address - Country:US
Mailing Address - Phone:732-840-8177
Mailing Address - Fax:
Practice Address - Street 1:1899 ROUTE 88
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3124
Practice Address - Country:US
Practice Address - Phone:732-840-8177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty