Organization
HACKENSCACK UNIVERSITY MEDICAL CENTER DIALYSIS
Active
Organization
HACKENSCACK UNIVERSITY MEDICAL CENTER DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P FERGUSON (PRESIDENT AND CEO)
(201) 996-2002
Entity
Organization
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-4205
(201) 996-2574
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-4205
(201) 996-2574
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1020404
NJ
Other
Enumeration date
09/20/2006
Last updated
05/29/2008
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