Organization
BRICK CITY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P MAC EVOY (OWNER)
(973) 809-8279
Entity
Organization
Contact information
Practice address
43 PROGRESS ST, UNION, NJ 07053
(973) 809-8279
Mailing address
43 PROGRESS ST, UNION, NJ 07053
(973) 809-8279
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
05/05/2021
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