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1023114899
IMMEDICENTER BLOOMFIELD
BLOOMFIELD, NJ
NPI
1023114899
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Entity Type
Organization
Authorized Contact
MARIA C SQUIRLOCK
Administrator
973-778-5566
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-09-16
Last Update Date
2009-03-18
Business Address
IMMEDICENTER BLOOMFIELD
557 BROAD ST
BLOOMFIELD, NJ 07003-2885
Phone number: 973-680-8300
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Mailing Address
IMMEDICENTER BLOOMFIELD
557 BROAD ST
BLOOMFIELD, NJ 07003-2885
Phone number: 973-680-8300
Copy
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