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Organization
BROOKLYN MEDICAL ASSOCIATES, PC
Active
Organization
BROOKLYN MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL EHINGER (CEO)
(260) 478-5226
Entity
Organization
Contact information
Practice address
5717 S ANTHONY BLVD, SUITE 100, FORT WAYNE, IN 46806-3386
(260) 747-6171
(260) 478-5125
Mailing address
3534 BROOKLYN AVE, FORT WAYNE, IN 46809-1361
(260) 747-6171
(260) 478-5125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50000594A
IN
Other
Enumeration date
05/02/2007
Last updated
11/06/2007
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