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General NPI Number Information
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NPI Number | 1114961810
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Entity Type | Organization
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Legal Business Name | PRIORITY MEDICAL CARE
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 350 GROVE ST
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2833
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Country | US
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Telephone | 908-231-0777
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Fax | 908-722-6031
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Provider Business Mailing Address
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Address Line | 350 GROVE ST
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-2833
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Country | US
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Telephone | 908-231-0777
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Fax | 908-722-6031
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Authorized Official
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Title or Position | PRESIDENT
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Name | IAN B BRODRICK
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Credential | M.D.
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Telephone | 908-231-0777
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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