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Organization
PASCACK HOSPITAL PHYSICIANS SERVICES, P.A.
Active
Organization
PASCACK HOSPITAL PHYSICIANS SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP LA STELLA MD (PRESIDENT)
(201) 358-3000
Entity
Organization
Contact information
Practice address
250 OLD HOOK RD, WESTWOOD, NJ 07675-3123
(201) 358-3000
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0955550
AMERIGROUP
NJ
01
—
1153677
HORIZON NJ HEALTH
NJ
01
—
381590
AMERIHEALTH
NJ
05
—
7260407
—
NJ
01
—
CN2025
RAILROAD MEDICARE
NJ
01
—
G620668
OXFORD
NJ
Enumeration date
01/16/2007
Last updated
07/21/2022
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