# BERGEN INST OF INTNL MEDICINE PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bergen Inst of Intnl Medicine PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609890136
- **Authorized official:** DR. ALAN ROY BASKIN (PARTNER)
- **Authorized official phone:** (201) 385-6111

## Contact information

- **Practice address:** 316 KNICKERBOCKER RD, DUMONT, NJ 07628
- **Practice address phone:** (201) 385-6161
- **Practice address fax:** (201) 501-8365
- **Mailing address:** 316 KNICKERBOCKER RD, DUMONT, NJ 07628
- **Mailing address phone:** (201) 385-6161
- **Mailing address fax:** (201) 501-8365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 12/20/2010