# HACKENSACK INTERNAL MEDICINE SPECIALISTS, P.A.

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

## Provider details

- **NPI number:** 1427241801
- **Authorized official:** MARY KELLY RN, APN-C (MANAGING EMPLOYEE / OFFICIAL)
- **Authorized official phone:** (201) 489-9119

## Contact information

- **Practice address:** 155 POLIFLY RD, SUITE 207, HACKENSACK, NJ 07601-1758
- **Practice address phone:** (201) 489-9119
- **Practice address fax:** (201) 489-3633
- **Mailing address:** 155 POLIFLY RD, SUITE 207, HACKENSACK, NJ 07601-1758
- **Mailing address phone:** (201) 489-9119
- **Mailing address fax:** (201) 489-3633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NJ | Yes |

## Other

- **Enumeration date:** 08/20/2007
- **Last updated:** 08/20/2007