Organization
COUNTY OF BERGEN NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY S CONDAL (FISCAL OPERATIONS OFFICER)
(201) 634-2680
Entity
Organization
Contact information
Practice address
220 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4142
(201) 634-2783
Mailing address
1 BERGEN COUNTY PLZ FL 4, HACKENSACK, NJ 07601-7075
(201) 634-2680
(201) 336-6086
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174728406
—
NJ
Enumeration date
06/13/2018
Last updated
06/13/2018
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