Organization
BERGEN SURGICAL ONCOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANUSAK YIENGPRUKSAWAN MD (PRESIDENT)
(201) 634-5438
Entity
Organization
Contact information
Practice address
1 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3628
(201) 634-5438
(201) 634-5352
Mailing address
1 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3628
(201) 634-5438
(201) 634-5352
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
25MA05981200
NJ
Other
Enumeration date
06/30/2008
Last updated
02/23/2010
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