Organization
POPE JOHN II PAVILLION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAVIE KATZ (BILLING MANAGER)
(718) 567-0400
Entity
Organization
Contact information
Practice address
135 S CENTER ST, ORANGE, NJ 07050-3522
(973) 266-3200
Mailing address
170 53RD ST, BROOKLYN, NY 11232-4316
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6799311
—
NJ
Enumeration date
05/20/2008
Last updated
05/20/2008
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