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Eton Medical Group, PA

Family Medicine in Paramus, NJ. Organization (NPI-2).

NPI number1851447809
StatusActive
Last updated in NPPESJun 30, 2010

Details

NPI
1851447809
Entity type
Organization (NPI-2)
Legal business name
Eton Medical Group, PA
Organization subpart
No
Enumeration date
Jan 25, 2007
Last updated
Jun 30, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMA05433300NJYes
207Q00000X Family Medicine––

Other names

  • Bergen Family Practice (Doing Business As)

Practice location

1 Sears Drive
4th Floor
Paramus, NJ 07652

Phone 201-261-6061 · Fax 201-261-6465

Mailing address

1 Sears Drive
4th Floor
Paramus, NJ 07652

Phone 201-261-6061 · Fax 201-261-6465

Authorized official

Michael William Rutigliano
President
2012616061

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