Organization
HACKENSACK UNIVERSITY MEDICAL CENTER
Active
Other names
Ellen H. Lazar Shoppe on Fifth
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONSTANCE M. NICLAS CMF, RFM, BSN (SUPERVISOR)
(201) 996-4400
Entity
Organization
Contact information
Practice address
20 PROSPECT AVE, SUITE 505, HACKENSACK, NJ 07601-1997
(201) 996-4400
Mailing address
20 PROSPECT AVE, SUITE 505, HACKENSACK, NJ 07601-1997
(201) 996-4400
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
06/30/2008
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