Organization
MSK BERGEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVATORE M ANDREOZZI (VICE PRESIDENT)
(646) 227-3751
Entity
Organization
Contact information
Practice address
225 SUMMIT AVE, MONTVALE, NJ 07645-1523
(908) 542-3336
Mailing address
633 3RD AVE LBBY 3, NEW YORK, NY 10017-6785
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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