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Organization

ENGLEWOOD MEDICAL ASSOCIATES, INC

Active
Parent organization
ENGLEWOOD MEDICAL ASSOCIATES, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ENGLEWOOD MEDICAL ASSOCIATES, INC
Authorized official
MR. MICHAEL DAVID PIETROWICZ (VICE PRESIDENT)
(201) 894-3005
Entity
Organization

Contact information

Practice address
350 ENGLE STREET, ENGLEWOOD, NJ 07631
(201) 894-3000
Mailing address
PO BOX 48307, NEWARK, NJ 07101-4807
(800) 355-7243
(856) 616-9259

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
35SI00280500
NJ
207P00000X
Emergency Medicine Physician
NJ
207Q00000X
Family Medicine Physician
Primary
NJ
207R00000X
Internal Medicine Physician
NJ
207V00000X
Obstetrics & Gynecology Physician
NJ
208000000X
Pediatrics Physician
NJ
2085U0001X
Diagnostic Ultrasound Physician
NJ
208600000X
Surgery Physician
NJ
208M00000X
Hospitalist Physician
NJ
363L00000X
Nurse Practitioner
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7561601
NJ
Enumeration date
03/05/2007
Last updated
09/14/2007
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