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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