Organization
SIDDHIPRIYA INC
Active
Parent organization
SIDDHIPRIYA INC
Other names
Bergen Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIDDHIPRIYA INC
Authorized official
MR. DEVANG NAGRECHA (PRESIDENT)
(973) 632-4994
Entity
Organization
Contact information
Practice address
240 WILLIAMSON ST STE 101, ELIZABETH, NJ 07202-3671
(908) 994-9700
Mailing address
23 CANOE BROOK DR, LIVINGSTON, NJ 07039-6121
(973) 632-4994
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
28RS00728000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392065
—
NJ
Enumeration date
09/18/2017
Last updated
09/18/2017
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