Organization
BRIDGESIDE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE REZVIN (OWNER)
(845) 863-3711
Entity
Organization
Contact information
Practice address
441 WILFRED TER, CLIFFSIDE PARK, NJ 07010-1401
(845) 863-3711
Mailing address
441 WILFRED TER, CLIFFSIDE PARK, NJ 07010-1401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/11/2009
Last updated
09/15/2016
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