Organization
PALISADES MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CALANDRIELLO (CHIEF FINANCIAL OFFICER)
(201) 854-5226
Entity
Organization
Contact information
Practice address
6045 KENNEDY BLVD, PMA, NORTH BERGEN, NJ 07047-3246
(201) 453-0322
Mailing address
7600 RIVER RD, PMA, NORTH BERGEN, NJ 07047-6217
(201) 854-5000
(201) 854-5781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9021108
—
NJ
Enumeration date
08/19/2006
Last updated
02/17/2016
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