Organization
BERGEN MEDICAL ALLIANCE PA
Active
Other names
BERGEN MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MASIELLO CMPE (COO)
(201) 567-2050
Entity
Organization
Contact information
Practice address
180 ENGLE ST, ENGLEWOOD, NJ 07631-2507
(201) 567-2050
(201) 567-5070
Mailing address
180 ENGLE ST, ENGLEWOOD, NJ 07631-2507
(201) 567-2050
(201) 567-5070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
07/26/2006
Last updated
05/04/2011
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