Provider Demographics
NPI:1891930277
Name:WARREN COUNTY FAMILY PRACTICE ASSOCIATES P.A.
Entity Type:Organization
Organization Name:WARREN COUNTY FAMILY PRACTICE ASSOCIATES P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:FOSCHETTI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:908-689-7171
Mailing Address - Street 1:23 W CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-2000
Mailing Address - Country:US
Mailing Address - Phone:908-689-7171
Mailing Address - Fax:908-689-5652
Practice Address - Street 1:23 W CHURCH ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-2000
Practice Address - Country:US
Practice Address - Phone:908-689-7171
Practice Address - Fax:908-689-5652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2009-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26386207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1790799492OtherNPPES/NPI