# OBGYN ASSOCIATES OF ENGLEWOOD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OBGYN ASSOCIATES OF ENGLEWOOD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033290432
- **Legal business name:** OBGYN ASSOCIATES OF ENGLEWOOD
- **Authorized official:** DR. BRUCE HERMAN TISCH M.D. (PRESIDENT)
- **Authorized official phone:** (201) 569-0200

## Contact information

- **Practice address:** 177 NORTH DEAN STREET, SUITE 208, ENGLEWOOD, NJ 07631
- **Practice address phone:** (201) 569-0200
- **Practice address fax:** (201) 569-8287
- **Mailing address:** 177 NORTH DEAN STREET, SUITE 208, ENGLEWOOD, NJ 07631
- **Mailing address phone:** (201) 569-0200
- **Mailing address fax:** (201) 569-8287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MA31321 | NJ | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 03/28/2013