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Organization
BERGEN COUNTY IMPROVEMENT AUTHORITY
Active
Organization
BERGEN COUNTY IMPROVEMENT AUTHORITY
Active
Other names
Bergen New Bridge Medical Center Medical Provider Group
Organization subpart
No
Provider details
NPI number
Authorized official
MAURO RAGUSEO (EXECUTIVE DIRECTOR OF BCIA)
(201) 335-6350
Entity
Organization
Contact information
Practice address
230 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4142
(201) 967-4000
Mailing address
230 E RIDGEWOOD AVE BLDG 10, PARAMUS, NJ 07652-4142
(201) 967-4001
(201) 225-7101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
12/17/2019
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