# BERGEN HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1558487587
- **Authorized official:** NIKI SHABNAM MOSSADED DDS (PRESIDENT)
- **Authorized official phone:** (201) 767-3666

## Contact information

- **Practice address:** 539 DURIE AVE, CLOSTER, NJ 07624-2011
- **Practice address phone:** (201) 767-3666
- **Practice address fax:** (201) 767-6969
- **Mailing address:** PO BOX 439, ALPINE, NJ 07620-0439
- **Mailing address phone:** (201) 767-3666
- **Mailing address fax:** (201) 767-6969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DI17749 | NJ | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020