Provider Demographics
NPI:1770630600
Name:WILLIAM H. BROMLEY II, D.O. LLC
Entity Type:Organization
Organization Name:WILLIAM H. BROMLEY II, D.O. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:BROMLEY
Authorized Official - Suffix:II
Authorized Official - Credentials:DO
Authorized Official - Phone:856-546-6666
Mailing Address - Street 1:726 S WHITE HORSE PIKE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106-1326
Mailing Address - Country:US
Mailing Address - Phone:856-546-6666
Mailing Address - Fax:856-546-5345
Practice Address - Street 1:726 S WHITE HORSE PIKE
Practice Address - Street 2:SUITE 2
Practice Address - City:AUDUBON
Practice Address - State:NJ
Practice Address - Zip Code:08106-1326
Practice Address - Country:US
Practice Address - Phone:856-546-6666
Practice Address - Fax:856-546-5345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty