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Organization
ETON MEDICAL GROUP, PA
Active
Organization
ETON MEDICAL GROUP, PA
Active
Other names
Bergen Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILLIAM RUTIGLIANO SR. MD (PRESIDENT)
(201) 261-6061
Entity
Organization
Contact information
Practice address
1 SEARS DRIVE, 4TH FLOOR, PARAMUS, NJ 07652
(201) 261-6061
(201) 261-6465
Mailing address
1 SEARS DRIVE, 4TH FLOOR, PARAMUS, NJ 07652
(201) 261-6061
(201) 261-6465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA05433300
NJ
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
01/25/2007
Last updated
06/30/2010
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