Organization
INTERNAL MEDICINE & GERIATRIC SPECIALIST OF NORTH JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBI SMITH (ACCOUNT EXECUTIVE)
(201) 376-0770
Entity
Organization
Contact information
Practice address
2811 KENNEDY BLVD, NORTH BERGEN, NJ 07047-2227
(201) 319-0008
(201) 319-0004
Mailing address
2811 KENNEDY BLVD, NORTH BERGEN, NJ 07047-2227
(201) 319-0008
(201) 319-0004
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MB07249800
NJ
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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