Organization · Type 2 NPI

Bergenline Family Medicine

Primary Care Clinic/Center · West New York, NJ

NPI number 1811207475 Active

Practice location

333 60th St
West New York, NJ 07093-5487

Fax (201) 453-8804

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XMA062055 (NJ)

Primary Care Clinic/Center: Definition to come...

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About NPI 1811207475

Bergenline Family Medicine's National Provider Identifier is 1811207475, issued on Oct 18, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in West New York, NJ. The record was last updated on Jan 4, 2011.