Ennoble Hc Nj III PC
Family Medicine, Geriatric Medicine in Hackensack, NJ. Organization (NPI-2).
NPI number1043192099
StatusActive
Last updated in NPPESAug 29, 2025
Details
- NPI
- 1043192099
- Entity type
- Organization (NPI-2)
- Legal business name
- Ennoble Hc Nj III PC
- Organization subpart
- No
- Enumeration date
- Jul 22, 2025
- Certification date
- Aug 29, 2025
- Last updated
- Aug 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | – | – | Yes |
Practice location
2 University Plz Ste 204Hackensack, NJ 07601-6211
Phone 551-295-8223
Mailing address
2 University Plz Ste 204Hackensack, NJ 07601-6211
Phone 551-295-8223
Other practice locations
1000 Haddonfield Berlin Rd Ste 205
Voorhees, NJ 08043-3520
Voorhees, NJ 08043-3520
Phone 973-241-1356
101 Greenwood Ave Ste 140
Jenkintown, PA 19046-2627
Jenkintown, PA 19046-2627
Phone 973-241-1356
325 Chestnut St Ste 800
Philadelphia, PA 19106-2608
Philadelphia, PA 19106-2608
Phone 973-241-1356
3209 S Broadway Ste 229
Edmond, OK 73013-4064
Edmond, OK 73013-4064
Phone 551-295-8223
101 W Hefner Rd
Oklahoma City, OK 73114-6631
Oklahoma City, OK 73114-6631
Phone 405-896-8058
Authorized official
Mark Bradshaw
Owner
6786652618
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All 19 Geriatric Medicine (Family Medicine) Physician providers in Hackensack · All 3,808 providers in Hackensack
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