BRIDGETON MEDICAL ASSOCIATES PA NPI 1013958719

NPI Information

BRIDGETON MEDICAL ASSOCIATES PA is a family medicine in Bridgeton, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BRIDGETON MEDICAL ASSOCIATES PA NPI is 1013958719. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 MANHEIM AVE
SUITE 1
BRIDGETON, NJ
ZIP 08302-139
Phone: (856) 455-2700
Fax: (856) 455-7051

The provider's authorized official is Donna J Rocco .
The authorized official title is Billing Representative and has the following contact phone number (856) 455-6214.

The CLIA number assigned to this NPI record is 31D2113397 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 3/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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