Organization
MIDDLESEX MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD BARRY BULLOCK MD (PRESIDENT)
(732) 661-2020
Entity
Organization
Contact information
Practice address
225 MAY ST, SUITE E, EDISON, NJ 08837-3266
(732) 661-2020
(732) 661-2022
Mailing address
225 MAY ST, SUITE E, EDISON, NJ 08837-3266
(732) 661-2020
(732) 661-2022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8325804
—
NJ
Enumeration date
10/20/2005
Last updated
08/22/2020
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