Organization
PROGRESSIVE NEUROLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGES A GHACIBEH M.D. (PRESIDENT)
(201) 546-8510
Entity
Organization
Contact information
Practice address
260 OLD HOOK RD, SUITE 200, WESTWOOD, NJ 07675-3123
(201) 546-8510
(201) 957-7316
Mailing address
381 PARK STREET, SUITE 200, HACKENSACK, NJ 07601
(201) 546-8510
(201) 957-7316
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA08232000
NJ
2084N0600X
Clinical Neurophysiology Physician
25MA08232000
NJ
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
25MA08232000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143731
—
NJ
Enumeration date
10/18/2011
Last updated
03/06/2024
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