Bravo Medical, LLC
NPI #1427602960 in Somerdale, New Jersey
Provider Information
- NPI Number
- 1427602960
- Entity Type
- Organization
- Organization Name
- Bravo Medical, LLC
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Aug 1, 2019
- Last Updated
- Aug 1, 2019
Practice Location
- Address
- 10 SOMERDALE SQUARE 1200 SOUTH WHITE HORSE PIKE
- City
- Somerdale
- State
- New Jersey
- ZIP Code
- 08083-1345
- Phone
- (856) 679-2500
Authorized Official
- Name
- MARK GALLIHUE
- Title
- CORP DIR OF PATIENT ACCOUNTS
- Phone
- (610) 994-2968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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