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Organization
ENGLEWOOD MEDICAL ASSOCIATES, INC
Active
Organization
ENGLEWOOD MEDICAL ASSOCIATES, INC
Active
Parent organization
ENGLEWOOD MEDICAL ASSOCIATES, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENGLEWOOD MEDICAL ASSOCIATES, INC
Authorized official
MR. MICHAEL DAVID PIETROWICZ (VICE PRESIDENT)
(201) 894-3005
Entity
Organization
Contact information
Practice address
350 ENGLE STREET, ENGLEWOOD, NJ 07631
(201) 894-3000
Mailing address
PO BOX 48307, NEWARK, NJ 07101-4807
(800) 355-7243
(856) 616-9259
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
35SI00280500
NJ
207P00000X
Emergency Medicine Physician
—
NJ
207Q00000X
Family Medicine Physician
Primary
—
NJ
207R00000X
Internal Medicine Physician
—
NJ
207V00000X
Obstetrics & Gynecology Physician
—
NJ
208000000X
Pediatrics Physician
—
NJ
2085U0001X
Diagnostic Ultrasound Physician
—
NJ
208600000X
Surgery Physician
—
NJ
208M00000X
Hospitalist Physician
—
NJ
363L00000X
Nurse Practitioner
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7561601
—
NJ
Enumeration date
03/05/2007
Last updated
09/14/2007
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