BERGENLINE FAMILY MEDICINE

WEST NEW YORK, NJ
NPI1811207475
Entity TypeOrganization
Authorized ContactGIL V. FAJARDO
Director
201-453-8777
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: NJ  MA062055)
Enumeration Date2010-10-18
Last Update Date2011-01-04
Business Address
BERGENLINE FAMILY MEDICINE
333 60TH ST
WEST NEW YORK, NJ 07093-5487
Phone number: 201-453-8777
Mailing Address
BERGENLINE FAMILY MEDICINE
333 60TH ST
WEST NEW YORK, NJ 07093-5487
Phone number: 201-453-8777