Organization
PALISADE EYE ASSOCIATES,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY CERVENAK M.D. (VICE PRESIDENT)
(201) 653-5722
Entity
Organization
Contact information
Practice address
203 PALISADE AVE, JERSEY CITY, NJ 07306-1112
(201) 653-5722
Mailing address
203 PALISADE AVE, JERSEY CITY, NJ 07306-1112
(201) 653-5722
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3158705
—
NJ
01
—
CL6963
RAILROAD MEDICARE
—
Enumeration date
10/17/2006
Last updated
04/10/2008
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