| Brooklyn Medical Associates, Pc | |
|
5717 S Anthony Blvd Suite 100 Fort Wayne IN 46806-3386 | |
| (260) 747-6171 | |
| (260) 478-5125 |
| Full Name | Brooklyn Medical Associates, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5717 S Anthony Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Bill Ehinger (CEO) |
| Authorized Official Contact | 2604785226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooklyn Medical Associates, Pc 3534 Brooklyn Ave Fort Wayne IN 46809-1361 Ph: (260) 747-6171 | Brooklyn Medical Associates, Pc 5717 S Anthony Blvd Suite 100 Fort Wayne IN 46806-3386 Ph: (260) 747-6171 |
| NPI Number | 1851512198 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851512198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 50000594A (Indiana) | Primary |
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