Individual
EILEEN BEYSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92 2ND ST, HACKENSACK, NJ 07601-2191
(551) 996-5266
(551) 996-0589
Mailing address
92 2ND ST, HACKENSACK, NJ 07601-2191
(551) 996-5266
(551) 996-0589
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
26NJ00605500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223141761
TAX ID#
NJ
Enumeration date
12/29/2016
Last updated
12/29/2016
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