Bergen Orthopedic And Spine Group, LLC
Specialist in Hackensack, NJ. Organization (NPI-2).
NPI number1013155308
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1013155308
- Entity type
- Organization (NPI-2)
- Legal business name
- Bergen Orthopedic And Spine Group, LLC
- Organization subpart
- No
- Enumeration date
- Jan 26, 2009
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | NJ | Yes |
Practice location
401 Hackensack Ave10th Floor
Hackensack, NJ 07601-6411
Phone 201-343-3999 · Fax 201-343-0554
Mailing address
401 Hackensack Ave10th Floor
Hackensack, NJ 07601-6411
Phone 201-343-3999 · Fax 201-343-0554
Authorized official
Richard Seldes
Owner
2013433999
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