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1164989091
BRICK CITY MEDICAL LLC
UNION, NJ
NPI
1164989091
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Entity Type
Organization
Authorized Contact
JOHN P MAC EVOY
Owner
973-809-8279
Organization Subpart ?
No
Primary Taxonomy
261QM2800X Clinic/Center, Methadone Clinic
Enumeration Date
2019-02-27
Last Update Date
2021-05-05
Business Address
BRICK CITY MEDICAL LLC
43 PROGRESS ST
UNION, NJ 07053
Phone number: 973-809-8279
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Mailing Address
BRICK CITY MEDICAL LLC
43 PROGRESS ST
UNION, NJ 07053
Phone number: 973-809-8279
Copy
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