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Organization
ASTRA HEALTH CENTER OF BAYONNE, LLC
Active
Organization
ASTRA HEALTH CENTER OF BAYONNE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY RUSSO MD (DIRECTOR OF OPERATIONS)
(201) 464-8888
Entity
Organization
Contact information
Practice address
564 BROADWAY, BAYONNE, NJ 07002-8828
(201) 464-8888
Mailing address
18 LYONS MALL, BASKING RIDGE, NJ 07920-1928
(973) 479-0101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2083X0100X
Occupational Medicine Physician
—
NULL
2083X0100X
Occupational Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/29/2013
Last updated
05/06/2015
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