Organization · Type 2 NPI
Bridgewater Medical Group PA
Non-Pharmacy Dispensing Site · Bridgewater, NJ
NPI number
1255752044
Active
Practice location
766 US Highway 202/206
Bridgewater, NJ 08807-1777
Mailing address
5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | 25MB05436000 (NJ) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2 other providers at this address
About NPI 1255752044
Bridgewater Medical Group PA's National Provider Identifier is 1255752044, issued on Dec 20, 2013. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Bridgewater, NJ. The record was last updated on Dec 20, 2013.