Ennoble Hc Nj III PC
NPI #1043192099 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1043192099
- Entity Type
- Organization
- Organization Name
- Ennoble Hc Nj III PC
- Primary Specialty
- Family Medicine - Geriatric Medicine
- Enumeration Date
- Jul 22, 2025
- Last Updated
- Aug 29, 2025
Practice Location
- Address
- 2 UNIVERSITY PLZ STE 204
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-6211
- Phone
- (551) 295-8223
Authorized Official
- Name
- MARK BRADSHAW, MD
- Title
- OWNER
- Phone
- (678) 665-2618
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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