Organization
IJKG OPCO LLC
Active
Organization
IJKG OPCO LLC
Active
Other names
Bayonne Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KANE (PRESIDENT AND CEO)
(201) 858-7111
Entity
Organization
Contact information
Practice address
29TH STREET AT AVENUE E, BAYONNE, NJ 07002
(201) 858-5000
(201) 858-7333
Mailing address
29TH STREET AT AVENUE E, BAYONNE, NJ 07002
(201) 858-5000
(201) 858-7333
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4136705
—
NJ
Enumeration date
06/21/2007
Last updated
03/19/2008
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