Organization
BRICK WOMEN'S PHYSICIANS
Active
Parent organization
BRICK WOMEN'S PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRICK WOMEN'S PHYSICIANS
Authorized official
DONNA RICHARDSON (SUPERVISOR)
(732) 202-0700
Entity
Organization
Contact information
Practice address
87 UNION AVE, MANASQUAN, NJ 08736-3633
(732) 202-0700
(732) 202-0664
Mailing address
87 UNION AVE, MANASQUAN, NJ 08736-3633
(732) 202-0700
(732) 202-0664
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8646708
—
NJ
Enumeration date
01/27/2012
Last updated
01/30/2012
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