# BERGEN ENDOCRINOLOGY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023268976
- **Authorized official:** DIMA YESHOU (MD)
- **Authorized official phone:** (201) 281-7835

## Contact information

- **Practice address:** 12-04 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5811
- **Practice address phone:** (201) 773-8710
- **Practice address fax:** (201) 773-8711
- **Mailing address:** 560 CLINTON RD, PARAMUS, NJ 07652
- **Mailing address phone:** (201) 967-8425
- **Mailing address fax:** (201) 263-4665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 25MA08384100 | NJ | Yes |

## Other

- **Enumeration date:** 09/29/2008
- **Last updated:** 10/13/2015