Individual
BRYAN TASSAVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 854-5000
Mailing address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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