Organization
BRICK CITY MEDICAL LLC
Active
Other names
Suburban Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD SKOKOWSKI (EXECUTIVE DIRECTOR)
(856) 287-1952
Entity
Organization
Contact information
Practice address
43 PROGRESS ST, UNION, NJ 07083-8114
(908) 258-8765
Mailing address
43 PROGRESS ST, UNION, NJ 07083-8114
(908) 258-8765
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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