Organization
BERGEN INST OF INTNL MEDICINE PA
Active
Other names
Bergen Inst of Intnl Medicine PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN ROY BASKIN (PARTNER)
(201) 385-6111
Entity
Organization
Contact information
Practice address
316 KNICKERBOCKER RD, DUMONT, NJ 07628
(201) 385-6161
(201) 501-8365
Mailing address
316 KNICKERBOCKER RD, DUMONT, NJ 07628
(201) 385-6161
(201) 501-8365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL7785
RAILROAD MEDICARE
—
Enumeration date
07/27/2006
Last updated
12/20/2010
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