Organization
BERGEN MEDICAL CENTER MULTI SPECIALTY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALLEN SHANTON (ADMIN)
(201) 262-8274
Entity
Organization
Contact information
Practice address
1 W RIDGEWOOD AVE, G3, PARAMUS, NJ 07652-2359
(201) 262-8274
(201) 262-8718
Mailing address
1 W RIDGEWOOD AVE, G3, PARAMUS, NJ 07652-2359
(201) 262-8274
(201) 262-8718
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MA49009
NJ
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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