Brooklyn Medical Associates, Pc

NPI 1366481699 - Family Medicine - 207Q00000X

NPI Details
NPI 1366481699
Enumeration Date 06/05/2006
Last Updated 11/06/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BILL BILL
Position CEO
Phone (260) 747-6171
Fax (260) 478-5125
Practice Location
326 SAWYER RD
KENDALLVILLE IN, 46755-2573, US
Phone (260) 747-6171
Fax (260) 478-5125
Business Location
3534 BROOKLYN AVE
FORT WAYNE IN, 46809-1361, US
Phone (260) 747-6171
Fax (260) 478-5125
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 50000594A
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According to our database, Brooklyn Medical Associates, Pc NPI is 1366481699, taxonomy code is 207Q00000X and license number is 50000594A, license state is located at Indiana. Brooklyn Medical Associates, Pc physically located at 326 Sawyer Rd, Kendallville IN, 46755-2573. NPI Number 1033115704 has the healthcare provider type.

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1366481699 NPI number is provided on an as is basis without warranty of any kind. 1366481699 is maintained by the National Plan & Provider Enumeration System. The contents of Brooklyn Medical Associates, Pc are for informational purposes only.