Organization
BERGEN NEUROLOGY AND PAIN MANAGEMENT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAYA R DASIKA M.D. (PRESIDENT)
(973) 735-4655
Entity
Organization
Contact information
Practice address
600 PAVONIA AVE, 3RD FLOOR, JERSEY CITY, NJ 07306-2929
(201) 420-1522
(201) 420-1633
Mailing address
PO BOX 50, LIVINGSTON, NJ 07039-0050
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
25MA03289800
NJ
Other
Enumeration date
10/08/2010
Last updated
11/11/2010
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