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Organization

PALISADES HOUSE PHYSICIANS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT S PORT MD (CHAIRMAN OF RADIOLOGY)
(856) 616-8100
Entity
Organization

Contact information

Practice address
7600 RIVER ROAD, NORTH BERGEN, NJ 07047
(856) 616-8100
(856) 616-1919
Mailing address
PO BOX 3012, WILMINGTON, DE 19804-0012
(866) 688-8613
(661) 846-3739

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Enumeration date
07/03/2006
Last updated
05/15/2009
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