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Organization
INFECTIOUS DISEASE GROUP OF NORTH JERSEY
Active
Organization
INFECTIOUS DISEASE GROUP OF NORTH JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK BOGHOSSIAN M.D. (PRESIDENT)
(239) 597-0704
Entity
Organization
Contact information
Practice address
631 BROADWAY, BAYONNE, NJ 07002-3846
(239) 597-0704
(239) 597-0704
Mailing address
PO BOX 93, BAYONNE, NJ 07002-0093
(239) 597-0704
(239) 597-0709
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
11/18/2019
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