Organization
NORTHERN NEW JERSEY PULMONARY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN S POLKOW MD (CEO)
(201) 498-1311
Entity
Organization
Contact information
Practice address
211 ESSEX ST, SUITE 302, HACKENSACK, NJ 07601-3231
(201) 498-1311
(201) 498-1312
Mailing address
211 ESSEX ST, SUITE 302, HACKENSACK, NJ 07601-3231
(201) 498-1311
(201) 498-1312
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7230109
—
NJ
Enumeration date
11/20/2006
Last updated
08/01/2012
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