| Bergen Spine Associates | |
|
50 Clinton Pl Ste 6 Hackensack NJ 07601-4580 | |
| (201) 880-6204 | |
| (201) 880-6206 |
| Full Name | Bergen Spine Associates |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 50 Clinton Pl Ste 6, Hackensack, New Jersey |
| Authorized Official Name and Position | Roman Kosiborod (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2018806204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Spine Associates 50 Clinton Pl Ste 6 Hackensack NJ 07601-4580 Ph: (201) 880-6204 | Bergen Spine Associates 50 Clinton Pl Ste 6 Hackensack NJ 07601-4580 Ph: (201) 880-6204 |
| NPI Number | 1124470786 |
|---|---|
| Provider Enumeration Date | 07/07/2016 |
| Last Update Date | 07/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124470786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MB07566200 (New Jersey) | Primary |
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