# COUNTY OF BERGEN

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

## Provider details

- **NPI number:** 1235317298
- **Authorized official:** DEIDRA PARKS RN MSN CPNP, APN (ADVANCE PRACTICE NURSE)
- **Authorized official phone:** (201) 336-3912

## Contact information

- **Practice address:** 200 NORTH ST, TETERBORO, NJ 07608-1214
- **Practice address phone:** (201) 336-3912
- **Practice address fax:** (201) 336-3919
- **Mailing address:** 200 NORTH ST, TETERBORO, NJ 07608-1214
- **Mailing address phone:** (201) 336-3912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NJ | Yes |

## Other

- **Enumeration date:** 02/01/2008
- **Last updated:** 07/27/2015