Organization
OBGYN ASSOCIATES OF ENGLEWOOD
Active
Parent organization
OBGYN ASSOCIATES OF ENGLEWOOD
Organization subpart
Yes
Provider details
NPI number
Legal business name
OBGYN ASSOCIATES OF ENGLEWOOD
Authorized official
DR. BRUCE HERMAN TISCH M.D. (PRESIDENT)
(201) 569-0200
Entity
Organization
Contact information
Practice address
177 NORTH DEAN STREET, SUITE 208, ENGLEWOOD, NJ 07631
(201) 569-0200
(201) 569-8287
Mailing address
177 NORTH DEAN STREET, SUITE 208, ENGLEWOOD, NJ 07631
(201) 569-0200
(201) 569-8287
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA31321
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4719301
—
NJ
Enumeration date
10/18/2006
Last updated
03/28/2013
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