Organization
HACKENSACK INTERNAL MEDICINE SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KELLY RN, APN-C (MANAGING EMPLOYEE / OFFICIAL)
(201) 489-9119
Entity
Organization
Contact information
Practice address
155 POLIFLY RD, SUITE 207, HACKENSACK, NJ 07601-1758
(201) 489-9119
(201) 489-3633
Mailing address
155 POLIFLY RD, SUITE 207, HACKENSACK, NJ 07601-1758
(201) 489-9119
(201) 489-3633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NJ
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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