Organization
MEDICAL GROUP OF BERGEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA HARUTYUNYAN MD (MD/OWNER)
(201) 225-4700
Entity
Organization
Contact information
Practice address
230 E RIDGEWOOD AVE, BLDG 6, SECOND FLOOR, PARAMUS, NJ 07652-4142
(201) 225-4700
(201) 225-4702
Mailing address
28 WOODCREST DR, WOODCLIFF LAKE, NJ 07677-7628
(201) 362-3978
(201) 458-9933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08285000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206512
—
NJ
Enumeration date
01/18/2011
Last updated
07/25/2016
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