Organization
JEFFREY B DANZIG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY B DANZIG MD (PRESIDENT)
(201) 445-8787
Entity
Organization
Contact information
Practice address
127 UNION ST, RIDGEWOOD, NJ 07450-4478
(201) 445-8787
(201) 445-8556
Mailing address
2 WINTHROP DR, WOODCLIFF LAKE, NJ 07677-7856
(201) 445-8787
(201) 445-8556
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA54828
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01036584
—
NY
05
—
0479101
—
NJ
Enumeration date
02/12/2010
Last updated
10/22/2010
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