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Organization
BERGEN MEDICAL ALLIANCE PA
Active
Organization
BERGEN MEDICAL ALLIANCE PA
Active
Other names
BERGEN MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MASIELLO CMPE (COO)
(201) 567-2050
Entity
Organization
Contact information
Practice address
180 ENGLE ST, ENGLEWOOD, NJ 07631-2507
(201) 567-2050
(201) 567-5070
Mailing address
180 ENGLE ST, ENGLEWOOD, NJ 07631-2507
(201) 567-2050
(201) 567-5070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NULL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
07/26/2006
Last updated
05/04/2011
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