# BRIDGE MEDICAL CENTER PROFESSIONAL ASSOCIATION

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

## Provider details

- **NPI number:** 1619244514
- **Authorized official:** MS. BETH A MAZZACCARO (OFFICE MANAGER)
- **Authorized official phone:** (973) 729-0016

## Contact information

- **Practice address:** 351 SPARTA AVE, SUITE 201, SPARTA, NJ 07871-1160
- **Practice address phone:** (973) 729-0016
- **Practice address fax:** (973) 729-0058
- **Mailing address:** 4 SOUTHWOODS LN, OAK RIDGE, NJ 07438-9848
- **Mailing address phone:** (973) 729-0016
- **Mailing address fax:** (973) 729-0058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA07206600 | NJ | Yes |

## Other

- **Enumeration date:** 11/19/2011
- **Last updated:** 08/28/2012