New Jersey Breast Diagnostic Center, Pa

NPI 1477502078 - Specialist - 174400000X

NPI Details
NPI 1477502078
Enumeration Date 05/09/2006
Last Updated 05/13/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BERTRAM ALLEN BERTRAM
Position OWNER
Phone (201) 444-4412
Fax (201) 444-6966
Practice Location
145 PROSPECT ST
RIDGEWOOD NJ, 07450-4493, US
Phone (201) 444-4412
Fax (201) 444-6966
Business Location
145 PROSPECT ST
RIDGEWOOD NJ, 07450-4493, US
Phone (201) 444-4412
Fax (201) 444-6966
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, New Jersey Breast Diagnostic Center, Pa NPI is 1477502078, taxonomy code is 174400000X New Jersey Breast Diagnostic Center, Pa physically located at 145 Prospect St, Ridgewood NJ, 07450-4493. NPI Number 1033115704 has the healthcare provider type.

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1477502078 NPI number is provided on an as is basis without warranty of any kind. 1477502078 is maintained by the National Plan & Provider Enumeration System. The contents of New Jersey Breast Diagnostic Center, Pa are for informational purposes only.