| Brooklyn Medical Associates Llc | |
|
7980 W Jefferson Blvd Fort Wayne IN 46804-4170 | |
| (260) 747-6171 | |
| (260) 478-5125 |
| Full Name | Brooklyn Medical Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7980 W Jefferson Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR) |
| Authorized Official Contact | 8778929813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Medical Associates Llc 3534 Brooklyn Ave Fort Wayne IN 46809-1361 Ph: (260) 747-6171 | Brooklyn Medical Associates Llc 7980 W Jefferson Blvd Fort Wayne IN 46804-4170 Ph: (260) 747-6171 |
| NPI Number | 1457390783 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 12/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457390783 | NPI | - | NPPES |
| 100284760D | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 50000594A (Indiana) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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