Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Immedicenter Bloomfield

Organization Family Medicine Physician · NPI 1023114899

Immedicenter Bloomfield is a Family Medicine Physician in Bloomfield, New Jersey. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

557 Broad St
Bloomfield, NJ 07003-2885
Phone: (973) 680-8300
Fax: (973) 743-5601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1023114899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Squirlock — Administrator · (973) 778-5566
NPI enumeratedSeptember 16, 2006
Last updated in NPPESMarch 18, 2009
Mailing address557 Broad St, Bloomfield, NJ 07003-2885

Other providers in Bloomfield