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Organization

BERGEN WEST PEDIATRIC CENTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN M. CERKVENIK MD (PRESIDENT)
(201) 652-0300
Entity
Organization

Contact information

Practice address
541 CEDAR HILL AVE, WYCKOFF, NJ 07481-2150
(201) 652-0300
(201) 444-6209
Mailing address
541 CEDAR HILL AVE, WYCKOFF, NJ 07481-2150
(201) 652-0300
(201) 444-6209

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
03/20/2006
Last updated
03/14/2012
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