Bergen Medical Sports & Spine, INC.
Family Medicine, Sports Medicine in Paramus, NJ. Organization (NPI-2).
NPI number1962722595
StatusActive
Last updated in NPPESJun 5, 2010
Details
- NPI
- 1962722595
- Entity type
- Organization (NPI-2)
- Legal business name
- Bergen Medical Sports & Spine, INC.
- Organization subpart
- No
- Enumeration date
- Jun 5, 2010
- Last updated
- Jun 5, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | MA55527 | NJ | Yes |
Practice location
1 Sears DrThird Floor
Paramus, NJ 07652-3515
Phone 201-261-5220 · Fax 201-261-5223
Mailing address
131 Craig RdHillsdale, NJ 07642-1054
Phone 201-888-0021 · Fax 201-722-3560
Authorized official
Gary Steven Herring
President
2018880021
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