| Organization Name: | WARREN MEDICENTER, P.A. |
| NPI Number: | 1114921509 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HAROLD B. EHRLICH (PRESIDENT) |
| Mailing Address: | 601 W Union Ave Ste 107 Bound Brook |
| State: | NJ US |
| Postal Code: | 088051166 |
| Phone Number: | 7324693627 |
| Fax Number: | 7326673708 |
| NPI Enumeration Date: | 06/13/2005 |
| NPI Last Update Date: | 12/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |