# CANTERBURY MEDICAL ASSOCIATES-INPATIENT PC

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

## Provider details

- **NPI number:** 1932411972
- **Authorized official:** JERZY A POPKO (EVP FINANCE & CFO)
- **Authorized official phone:** (201) 795-8389

## Contact information

- **Practice address:** 176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
- **Practice address phone:** (201) 795-8200
- **Mailing address:** 176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
- **Mailing address phone:** (201) 795-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2010
- **Last updated:** 04/21/2011
