Organization
HUMC MEDICAL OBSERVATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IHOR SAWCZUK MD (PRESIDENT)
(201) 996-3600
Entity
Organization
Contact information
Practice address
30 PROSPECT AVE, EMERGENCY MEDICINE, HACKENSACK, NJ 07601-1914
(551) 996-5045
Mailing address
30 PROSPECT AVE, PB TRAILER, HACKENSACK, NJ 07601-1914
(551) 996-5045
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
04/21/2010
Last updated
12/10/2013
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