Healthcare Provider Details

I. General information

NPI: 1376537381
Provider Name (Legal Business Name): PRIORITY MEDICAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 GROVE ST
BRIDGEWATER NJ
08807-2833
US

IV. Provider business mailing address

350 GROVE ST
BRIDGEWATER NJ
08807-2833
US

V. Phone/Fax

Practice location:
  • Phone: 908-231-0777
  • Fax: 908-722-6031
Mailing address:
  • Phone: 908-231-0777
  • Fax: 908-722-6031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. IAN B. BRODRICK
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 908-231-0777