Organization
BERGEN NEUROLOGY & PAIN MANAGEMENT LLC
Active
Organization
BERGEN NEUROLOGY & PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVINDER TIKOO MD (OWNER)
(917) 536-8940
Entity
Organization
Contact information
Practice address
480 MARKET ST STE 2, SADDLE BROOK, NJ 07663-5932
(201) 250-8088
(201) 546-7084
Mailing address
209 BENNINGTON TER, PARAMUS, NJ 07652-1335
(917) 536-8940
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA08433600
NJ
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
25MA08433600
NJ
Other
Enumeration date
04/18/2017
Last updated
12/10/2019
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