Individual
DR. HARRY BANSCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 LEMOINE AVE, FORT LEE, NJ 07024-6232
(201) 592-9210
(201) 592-6539
Mailing address
2500 LEMOINE AVE, FORT LEE, NJ 07024-6232
(201) 592-9210
(201) 592-6539
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA38980
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223109158
TAX ID
NJ
Enumeration date
07/19/2006
Last updated
07/08/2007
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