Organization
BERGEN ANESTHESIA GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOGNAMIGLIO MD (PRESIDENT)
(201) 847-9320
Entity
Organization
Contact information
Practice address
223 N VAN DIEN AVE, OPERATING ROOM, RIDGEWOOD, NJ 07450-2726
(201) 847-9403
Mailing address
500 W MAIN ST, SUITE 16, WYCKOFF, NJ 07481-1439
(201) 847-9320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7035101
—
NJ
Enumeration date
09/27/2006
Last updated
08/22/2020
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