Organization
GRAND OB-GYN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE CERBASI (OFFICE MANAGER)
(201) 871-1766
Entity
Organization
Contact information
Practice address
180 GRAND AVE, ENGLEWOOD, NJ 07631
(201) 871-1766
(201) 871-1391
Mailing address
180 GRAND AVE, ENGLEWOOD, NJ 07631
(201) 871-1766
(201) 871-1391
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/13/2006
Last updated
08/22/2020
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