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Organization
PATTNER & GRODSTEIN MD PA
Active
Organization
PATTNER & GRODSTEIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN M PATTNER MD (PRESIDENT)
(201) 567-0446
Entity
Organization
Contact information
Practice address
177 N DEAN ST, SUITE 207, ENGLEWOOD, NJ 07631-2533
(201) 567-0446
(201) 567-8775
Mailing address
177 N DEAN ST, SUITE 207, ENGLEWOOD, NJ 07631-2533
(201) 567-0446
(201) 567-8775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036803
—
NJ
05
—
0396206
—
NJ
05
—
0520004
—
NJ
05
—
0911607
—
NJ
05
—
7449704
—
NJ
05
—
8262608
—
NJ
Enumeration date
08/14/2006
Last updated
10/01/2007
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