# THE NEW JERSEY CENTER FOR EAR, NOSE AND THROAT DISORDERS, P.C.

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

## Provider details

- **NPI number:** 1700974995
- **Authorized official:** DR. DAVID H HENICK M.D. (OWNER)
- **Authorized official phone:** (201) 592-5800

## Contact information

- **Practice address:** 301 BRIDGE PLZ N, FORT LEE, NJ 07024-5059
- **Practice address phone:** (201) 592-8200
- **Practice address fax:** (201) 592-7786
- **Mailing address:** 301 BRIDGE PLZ N, FORT LEE, NJ 07024-5059
- **Mailing address phone:** (201) 592-8200
- **Mailing address fax:** (201) 592-7786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 25MA06039500 | NJ | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/22/2020