Provider Demographics
NPI:1376537381
Name:PRIORITY MEDICAL CARE
Entity Type:Organization
Organization Name:PRIORITY MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:BRODRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-231-0777
Mailing Address - Street 1:350 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2833
Mailing Address - Country:US
Mailing Address - Phone:908-231-0777
Mailing Address - Fax:908-722-6031
Practice Address - Street 1:350 GROVE ST
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2833
Practice Address - Country:US
Practice Address - Phone:908-231-0777
Practice Address - Fax:908-722-6031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care