Organization
FREEWAY PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BACCI (ADMINISTRATOR)
(201) 500-9755
Entity
Organization
Contact information
Practice address
9225 JOHN F KENNEDY BLVD, NORTH BERGEN, NJ 07047
(201) 500-9755
Mailing address
9225 JOHN F KENNEDY BLVD, NORTH BERGEN, NJ 07047
(201) 500-9755
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
01/23/2025
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