Organization
BRIDGE MEDICAL CENTER PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETH A MAZZACCARO (OFFICE MANAGER)
(973) 729-0016
Entity
Organization
Contact information
Practice address
351 SPARTA AVE, SUITE 201, SPARTA, NJ 07871-1160
(973) 729-0016
(973) 729-0058
Mailing address
4 SOUTHWOODS LN, OAK RIDGE, NJ 07438-9848
(973) 729-0016
(973) 729-0058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07206600
NJ
Other
Enumeration date
11/19/2011
Last updated
08/28/2012
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