institution
Bergenline Family Medicine
Primary Care Clinic/Center in West New York, New Jersey
NPI 1811207475

Bergenline Family Medicine is a Primary Care Clinic/Center based in West New York, NJ and is specialized in Primary Care. Bergenline Family Medicine practices in West New York, NJ. The NPI Number for Bergenline Family Medicine is 1811207475 and holds a License No. MA062055 (New Jersey).

The current practice location address for Bergenline Family Medicine is 333 60Th St, West New York, NJ and can be reached out via phone at 201-453-8777 and via fax at 201-453-8804.

Location: 333 60Th St, West New York, NJ, 07093-5487
institution
Provider Profile Details
NPI Number
1811207475
Provider Name
Bergenline Family Medicine
Credential
Provider Entity Type
Organization
Address
333 60Th St, West New York, NJ, 07093-5487
Phone Number
201-453-8777
Fax Number
201-453-8804
Provider Enumeration Date
10/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G37823 01 NJ UPIN
7003803 05 NJ
institution
Provider Business Practice Location Address Details
Address
333 60Th St
City
State
Zip
07093-5487
Phone Number
201-453-8777
Fax Number
201-453-8804
person
Provider Business Mailing Address Details
Address
333 60Th St
City
State
Zip
07093-5487
Phone Number
201-453-8777
Fax Number
201-453-8804
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
MA062055 (New Jersey)
Definition
Definition to come...
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