Organization
BERGEN COUNTY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY GUPTA MD (PRESIDENT)
(347) 448-1666
Entity
Organization
Contact information
Practice address
28-06 BROADWAY, FAIR LAWN, NJ 07410-3920
(201) 475-8940
Mailing address
45 E CHERYL RD, PINE BROOK, NJ 07058-9428
(973) 567-3043
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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