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Organization

BERGEN SURGICAL SPECIALISTS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY T. SIMONIAN MD (PRESIDENT)
(201) 446-8202
Entity
Organization

Contact information

Practice address
211 ESSEX ST, SUITE 102, HACKENSACK, NJ 07601-3231
(201) 487-8882
(201) 487-0943
Mailing address
211 ESSEX STREET, SUITE 102, HACKENSACK, NJ 07601
(201) 487-8882
(201) 487-0943

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA59895
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6209009
NJ
Enumeration date
01/04/2007
Last updated
04/16/2024
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