Organization
PEACE HEALTH PARTNERS, PC
Active
Organization
PEACE HEALTH PARTNERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BENIQUEZ PACHECO (CREDENTIALING SUPERVISOR)
(201) 833-3000
Entity
Organization
Contact information
Practice address
718 TEANECK ROAD, TEANECK, NJ 07666-4245
(201) 833-3280
(201) 541-5919
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8088004
—
NJ
01
—
CG0834
RR MEDICARE
—
Enumeration date
07/05/2006
Last updated
12/20/2022
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