| Bergen Neurology & Pain Management Llc | |
|
480 Market St Ste 2 Saddle Brook NJ 07663-5932 | |
| (201) 250-8088 | |
| (201) 546-7084 |
| Full Name | Bergen Neurology & Pain Management Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 480 Market St Ste 2, Saddle Brook, New Jersey |
| Authorized Official Name and Position | Ravinder Tikoo (OWNER) |
| Authorized Official Contact | 9175368940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Neurology & Pain Management Llc 209 Bennington Ter Paramus NJ 07652-1335 Ph: (917) 536-8940 | Bergen Neurology & Pain Management Llc 480 Market St Ste 2 Saddle Brook NJ 07663-5932 Ph: (201) 250-8088 |
| NPI Number | 1225562176 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 12/10/2019 |
| Certification Date | 12/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225562176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA08433600 (New Jersey) | Primary |
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | 25MA08433600 (New Jersey) | Secondary |
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