Organization
COUNTY OF BERGEN N J
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY S. CONDAL (OFFICER)
(201) 634-2680
Entity
Organization
Contact information
Practice address
327 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4819
(201) 634-2680
Mailing address
327 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4819
(201) 634-2680
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
06/18/2007
Last updated
01/09/2008
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