Organization
BERGEN HEART CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERMINDER GREWAL M.D. (DELEGATED OFFICIAL)
(201) 444-9913
Entity
Organization
Contact information
Practice address
85 CHESTNUT RIDGE RD, SUITE 11, MONTVALE, NJ 07645-1827
(201) 444-9913
(201) 844-6158
Mailing address
85 CHESTNUT RIDGE RD, SUITE 11, MONTVALE, NJ 07645-1827
(201) 444-9913
(201) 844-6158
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04252600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1599845
AETNA HMO GROUP#
NJ
01
—
2864697000
AMERIHEALTH GROUP#
NJ
01
—
7794956
AETNA PPO GROUP#
NJ
Enumeration date
05/09/2007
Last updated
03/05/2010
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