Bergen Spine Associates
NPI #1124470786 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1124470786
- Entity Type
- Organization
- Organization Name
- Bergen Spine Associates
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jul 7, 2016
- Last Updated
- Jul 7, 2016
Practice Location
- Address
- 50 CLINTON PL STE 6
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-4580
- Phone
- (201) 880-6204
Authorized Official
- Name
- DR. ROMAN KOSIBOROD, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (201) 880-6204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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