# PHOENIX PHYSICAL MEDICINE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346557469
- **Authorized official:** DR. RONALD LAWRENCE BRODY MD (OWNER)
- **Authorized official phone:** (856) 753-0581

## Contact information

- **Practice address:** 701 WHITE HORSE RD, SUITE 1, VOORHEES, NJ 08043-2494
- **Practice address phone:** (856) 753-0581
- **Practice address fax:** (856) 753-0806
- **Mailing address:** 701 WHITE HORSE RD, SUITE 1, VOORHEES, NJ 08043-2494
- **Mailing address phone:** (856) 753-0581
- **Mailing address fax:** (856) 753-0806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 25MA06259100 | NJ | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2MA04660000 | NJ | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2MA06687200 | NJ | — |

## Other

- **Enumeration date:** 09/10/2010
- **Last updated:** 09/10/2010