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NPI Code Detail

MEDICARE: BRICE MEDICAL CENTER,INC

MEDICARE: BRICE MEDICAL CENTER,INC
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
1261QP2300XPrimary Care Clinic/CenterMA07919800NJ

General Provider Information

NPI Number : 1205082674
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRICE MEDICAL CENTER,INC
Provider Business Mailing Address
First Line : 300 WASHINGTON AVE
Second Line :
City : ELIZABETH
State : NJ
Zip : 07202-3317
Country : US
Telephone Number : 908-355-0664
Fax Number : 908-355-0665
Provider Business Practice Location Address
First Line : 300 WASHINGTON AVE
Second Line :
City : ELIZABETH
State : NJ
Zip : 07202-3317
Country : US
Telephone Number : 908-355-0664
Fax Number : 908-355-0665
Authorized Official
Title or Position : PHYSICIAN, MEDICAL DIRECTOR
Name : DR. MARIE F BRICE
Credential : M.D
Telephone Number : 908-355-0664
Provider Enumeration Date : 08/17/2008
Last Update Date : 08/17/2008

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Directions to “BRICE MEDICAL CENTER,INC ” Practice Location

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