# BERGEN THORACIC AND VASCULAR ASSOCIATES P.C.

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

## Provider details

- **NPI number:** 1154742872
- **Authorized official:** MICHAEL LAWRENCE SCHWARTZ M.D. (SECTARY)
- **Authorized official phone:** (845) 362-0075

## Contact information

- **Practice address:** 350 ENGLE STREET - 2 EAST (FLOOR), C/O ENGLEWOOD HOSPITAL AND MEDICAL CENTER, ENGLEWOOD, NJ 07631
- **Practice address phone:** (201) 569-1107
- **Practice address fax:** (201) 569-1108
- **Mailing address:** 5A MEDICAL PARK DRIVE, ROCKLAND THORACIC & VASCULAR ASSOCIATES, P.C., POMONA, NY 10970
- **Mailing address phone:** (845) 362-0075
- **Mailing address fax:** (845) 362-7475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/23/2013
- **Last updated:** 03/03/2014