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Bridgewater Medical Group PA — NPI 1255752044, Bridgewater, NJ | NPI Central

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NPI 1255752044

OrganizationActive

Bridgewater Medical Group PA

NPI 1255752044 · Non-Pharmacy Dispensing Site · Bridgewater, NJ

Provider details

NPI number: 1255752044
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx
Organization subpart: Yes
Authorized official: Kenny Heine, Vp of Operations(858) 964-1506
License: 25MB05436000 (NJ)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense 25MB05436000 (NJ)
Suppliers

Practice location

766 US Highway 202/206

Bridgewater, NJ 08807-1777

Phone: (908) 722-0808

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Other names (DBA / former)

Doing business as: Bridgewater Medical Group

Registry dates

Enumerated: 2013-12-20
Last updated: 2013-12-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.