Immedicenter Bloomfield
NPI #1023114899 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1023114899
- Entity Type
- Organization
- Organization Name
- Immedicenter Bloomfield
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 16, 2006
- Last Updated
- Mar 18, 2009
Practice Location
- Address
- 557 BROAD ST
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-2885
- Phone
- (973) 680-8300
Authorized Official
- Name
- MRS. MARIA C SQUIRLOCK
- Title
- ADMINISTRATOR
- Phone
- (973) 778-5566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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