Organization Name: | BROMLEY NEUROLOGY, PC |
NPI Number: | 1437313368 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN M BROMLEY (PRESIDENT/OWNER) |
Mailing Address: | 739 S White Horse Pike Suite One Audubon |
State: | NJ US |
Postal Code: | 081061659 |
Phone Number: | 8565462300 |
Fax Number: | 8565462301 |
NPI Enumeration Date: | 07/10/2008 |
NPI Last Update Date: | 11/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 25MP00144400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |