Bridgewater Medical Group PA
NPI #1255752044 in Bridgewater, New Jersey
Provider Information
- NPI Number
- 1255752044
- Entity Type
- Organization
- Organization Name
- Bridgewater Medical Group PA
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Dec 20, 2013
- Last Updated
- Dec 20, 2013
Practice Location
- Address
- 766 US HIGHWAY 202/206
- City
- Bridgewater
- State
- New Jersey
- ZIP Code
- 08807-1777
- Phone
- (908) 722-0808
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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