Organization
ENGLEWOOD HEALTHCARE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MARK HODGES M.D. (PRESIDENT)
(201) 816-9266
Entity
Organization
Contact information
Practice address
200 GRAND AVE STE 202, ENGLEWOOD, NJ 07631-4363
(201) 816-9266
(201) 816-9266
Mailing address
200 GRAND AVE STE 202, ENGLEWOOD, NJ 07631-4363
(201) 816-9266
(201) 816-9266
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA0621600
NJ
Other
Enumeration date
07/06/2009
Last updated
04/18/2014
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