Organization · NPI-2

Bergen County Department Of Health

Clinic/Center · Hackensack, NJ

NPI number1861889248
StatusActive
Last updated in NPPESApr 23, 2015

Details

NPI
1861889248
Entity type
Organization (NPI-2)
Legal business name
Bergen County Department Of Health
Organization subpart
No
Enumeration date
Apr 23, 2015
Last updated
Apr 23, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center2000349NJYes

Practice location

103 Hudson St
Hackensack, NJ 07601

Phone 201-336-3330

Mailing address

1 Bergen County Plz Fl 4
Hackensack, NJ 07601-7077

Authorized official

Gregory Condal
Fiscal Operations Officer
2016342680

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