Organization
BETH ISRAEL HOSPITAL ASSOCIATION
Active
Other names
PBI Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL K WILLIS (DIRECTOR MANGED CARE)
(973) 365-4556
Entity
Organization
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4300
Mailing address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4300
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11604
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4136501
—
NJ
Enumeration date
09/15/2006
Last updated
08/22/2020
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