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NPI Code Detail

MEDICARE: SILVERTON MEDICAL CENTER, PC

MEDICARE: SILVERTON MEDICAL CENTER, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA02627200NJ

General Provider Information

NPI Number : 1063463651
Entity Type Code : Organization
Provider Name (Legal Business Name) : SILVERTON MEDICAL CENTER, PC
Provider Business Mailing Address
First Line : 2446 CHURCH RD
Second Line : SUITE 1A
City : TOMS RIVER
State : NJ
Zip : 08753-8182
Country : US
Telephone Number : 732-255-5915
Fax Number : 732-255-5618
Provider Business Practice Location Address
First Line : 2446 CHURCH RD
Second Line : SUITE 1A
City : TOMS RIVER
State : NJ
Zip : 08753-8182
Country : US
Telephone Number : 732-255-5915
Fax Number : 732-255-5618
Authorized Official
Title or Position : OWNER
Name : DR. MORRIS I BRODKEY
Credential : M.D.
Telephone Number : 732-255-5915
Provider Enumeration Date : 05/16/2006
Last Update Date : 11/17/2009

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Directions to “SILVERTON MEDICAL CENTER, PC ” Practice Location

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