Organization
PROSPECT WOMEN'S MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES STRANIERO MD (PARTNER)
(201) 342-1600
Entity
Organization
Contact information
Practice address
120 PROSPECT AVE, HACKENSACK, NJ 07601-2256
(201) 342-1600
Mailing address
120 PROSPECT AVE, HACKENSACK, NJ 07601-2256
(201) 342-1600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02186100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490858
GROUP AETNA #
NJ
01
—
CB7339
GROUP RAILROAD MEDICARE #
NJ
Enumeration date
06/03/2006
Last updated
04/16/2008
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