Organization
ENNOBLE HC NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUSHABHADRA DAS (CEO)
(862) 812-9010
Entity
Organization
Contact information
Practice address
2 UNIVERSITY PLZ, HACKENSACK, NJ 07601-6202
(973) 435-9463
Mailing address
2 UNIVERSITY PLAZA DRIVE, SUITE 204, HACKENSACK, NJ 07601
(973) 241-1356
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
11/08/2022
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