# COLUMBIADOCTORS OF BERGEN COUNTY

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

## Provider details

- **NPI number:** 1124404868
- **Authorized official:** DR. WILLIAM LEVINE (PRESIDENT)
- **Authorized official phone:** (212) 304-6309

## Contact information

- **Practice address:** 500 GRAND AVE, ENGLEWOOD, NJ 07631-4967
- **Practice address phone:** (212) 305-4565
- **Practice address fax:** (212) 342-2941
- **Mailing address:** 400 KELBY ST, CLINICAL REVENUE OFFICE, 7TH FLOOR, FORT LEE, NJ 07024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2015
- **Last updated:** 01/14/2022