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General NPI Number Information
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NPI Number | 1043415128
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Entity Type | Organization
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Legal Business Name | BROOKMEAD MEDICAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 432 COLUMBIA BLVD
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City | CHERRY HILL
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State | NJ
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Zip | 08002-1625
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Country | US
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Telephone | 856-427-4001
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Fax | 856-427-4003
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Provider Business Mailing Address
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Address Line | 432 COLUMBIA BLVD
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City | CHERRY HILL
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State | NJ
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Zip | 08002-1625
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Country | US
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Telephone | 856-427-4001
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Fax | 856-427-4003
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES EDWARD ENGELMAN
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Credential | D.O.
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Telephone | 856-427-4001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MB06304700
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License Number State | NJ
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