Whalio Doctors

NPI 1023063526

Brooklyn Medical Associates LLC

Organisation Family Medicine Physician Fort Wayne, IN

Practice location

Address
3534 Brooklyn Ave, Fort Wayne, IN 46809-1361
Phone
(260) 747-6171
Fax
(260) 478-5125

Authorised official

Name
Debbie Brewer
Title
Director
Phone
(877) 892-9813

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 50000594A (IN)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X

Registry record

NPI
1023063526
Entity type
Organization
NPI issued
23 May 2006
Record last updated
15 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.