Organization
BERGEN COUNTY IMPROVEMENT AUTHORITY
Active
Other names
Bergen New Bridge Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURO RAGUSEO (EXECUTIVE DIRECTOR OF BCIA)
(201) 336-6350
Entity
Organization
Contact information
Practice address
230 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4142
(201) 967-4000
(201) 225-7101
Mailing address
230 E RIDGEWOOD AVE BLDG 10, PARAMUS, NJ 07652-4142
(201) 967-4001
(201) 225-7101
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
28RS00303900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211672
—
NJ
Enumeration date
04/29/2009
Last updated
12/17/2019
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