| Bergen Family Practice | |
|
1 Sears Drive 4th Floor Paramus NJ 07652 | |
| (201) 261-6061 | |
| (201) 261-6465 |
| Full Name | Bergen Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Sears Drive, Paramus, New Jersey |
| Authorized Official Name and Position | Michael William Rutigliano (PRESIDENT) |
| Authorized Official Contact | 2012616061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Family Practice 1 Sears Drive 4th Floor Paramus NJ 07652 Ph: (201) 261-6061 | Bergen Family Practice 1 Sears Drive 4th Floor Paramus NJ 07652 Ph: (201) 261-6061 |
| NPI Number | 1831244003 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 06/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831244003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | MA05433300 (New Jersey) | Primary |
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