Ennoble Hc Ky PLLC
Family Medicine, Geriatric Medicine in Hackensack, NJ. Organization (NPI-2).
NPI number1275469488
StatusActive
Last updated in NPPESJun 23, 2026
Details
- NPI
- 1275469488
- Entity type
- Organization (NPI-2)
- Legal business name
- Ennoble Hc Ky PLLC
- Organization subpart
- No
- Enumeration date
- Jun 23, 2026
- Certification date
- Jun 23, 2026
- Last updated
- Jun 23, 2026
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 PlzHackensack, NJ 07601-6202
Phone 551-295-8223
Authorized official
Mark Bradshaw
Owner
6786652618
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