Organization
TEANECK WOMEN'S HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE AJJAN (DELEGATED OFFICIAL)
(201) 907-0900
Entity
Organization
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 907-0900
(201) 907-0229
Mailing address
870 PALISADE AVE, TEANECK, NJ 07666-3419
(201) 907-0900
(201) 907-0229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB03215900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002640
—
NJ
01
—
1160880
HORIZON NJ HEALTH GROUP #
NJ
Enumeration date
02/01/2007
Last updated
04/16/2008
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