Organization
PHOENIX PHYSICAL MEDICINE, P.C.
Active
Organization
PHOENIX PHYSICAL MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD LAWRENCE BRODY MD (OWNER)
(856) 753-0581
Entity
Organization
Contact information
Practice address
701 WHITE HORSE RD, SUITE 1, VOORHEES, NJ 08043-2494
(856) 753-0581
(856) 753-0806
Mailing address
701 WHITE HORSE RD, SUITE 1, VOORHEES, NJ 08043-2494
(856) 753-0581
(856) 753-0806
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25MA06259100
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2MA04660000
NJ
208100000X
Physical Medicine & Rehabilitation Physician
2MA06687200
NJ
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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