NPI | 1831244003 |
---|---|
Doing Business As | BERGEN FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | MICHAEL WILLIAM RUTIGLIANO President 201-261-6061 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NJ MA05433300) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-01-25 |
Last Update Date | 2010-06-30 |