Organization
HEMATOLOGY ASSOC OF NJ PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY R FERNBACH M.D. (PRESIDENT)
(201) 634-5353
Entity
Organization
Contact information
Practice address
1 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3628
(201) 634-5353
Mailing address
1 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3628
(201) 634-5353
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2816709
—
NJ
01
—
CB4007
RAILROAD MEDICARE
NJ
Enumeration date
09/20/2006
Last updated
02/12/2009
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