NPI
Glendora Family Practice LLC
NPI 1750336392
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-05-23
- Last updated
- 2009-01-02
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Specialties
Licenses
- License NJ
- 25MB06092600
Location
- Practice location
- 1300 Black Horse Pike
- City
- Glendora NJ
- Postal code
- 08029-1308
- Phone
- (856) 939-2828
Organization contact
- Name
- Benjamin Blank
- Title
- President
- Phone
- (856) 939-2828
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Glendora, NJ. 33 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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