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Organization

BETH ISRAEL MEDICIAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JON SICAT (PROGRAM DIRECTOR)
(973) 926-4949
Entity
Organization

Contact information

Practice address
927 RIDGEWOOD ROAD, MILLBURN, NJ 07041
(973) 698-1902
Mailing address
927 RIDGEWOOD RD, MILLBURN, NJ 07041-1441
(973) 698-1902

Taxonomy

Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary

Other

Enumeration date
05/26/2015
Last updated
05/26/2015
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