State of New Jersey
NPI #1104005057 in Paramus, New Jersey
Provider Information
- NPI Number
- 1104005057
- Entity Type
- Organization
- Organization Name
- State of New Jersey
- Primary Specialty
- Internal Medicine - Geriatric Medicine
- Enumeration Date
- Oct 29, 2007
- Last Updated
- Oct 29, 2007
Practice Location
- Address
- 1 VETERANS WAY
- City
- Paramus
- State
- New Jersey
- ZIP Code
- 07652-4100
- Phone
- (201) 634-8509
Authorized Official
- Name
- MR. GERARD FEENAN
- Title
- CFO
- Phone
- (201) 634-8509
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
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