| Bergen Healthcare Llc | |
|
539 Durie Ave Closter NJ 07624-2011 | |
| (201) 767-3666 | |
| (201) 767-6969 |
| Full Name | Bergen Healthcare Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 539 Durie Ave, Closter, New Jersey |
| Authorized Official Name and Position | Niki Shabnam Mossaded (PRESIDENT) |
| Authorized Official Contact | 2017673666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Healthcare Llc Po Box 439 Alpine NJ 07620-0439 Ph: (201) 767-3666 | Bergen Healthcare Llc 539 Durie Ave Closter NJ 07624-2011 Ph: (201) 767-3666 |
| NPI Number | 1558487587 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558487587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI17749 (New Jersey) | Primary |
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