Bandfish Emergency Physicians LLC

NPI #1174911325 in Montclair, New Jersey

Provider Information

NPI Number: 1174911325
Entity Type: Organization
Organization Name: Bandfish Emergency Physicians LLC
Primary Specialty: Hospitalist
Enumeration Date: Dec 22, 2014
Last Updated: Oct 14, 2015

Practice Location

Address: 1 BAY AVE
City: Montclair
State: New Jersey
ZIP Code: 07042-4837
Phone: (469) 401-2386

Authorized Official

Name: ROSS RONAN
Title: VICE PRESIDENT
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Hospitalist	208M00000X	Primary

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