Ennoble Hc Nj PC
NPI #1306500764 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1306500764
- Entity Type
- Organization
- Organization Name
- Ennoble Hc Nj PC
- Primary Specialty
- Family Medicine - Geriatric Medicine
- Enumeration Date
- Oct 22, 2021
- Last Updated
- Nov 8, 2022
Practice Location
- Address
- 2 UNIVERSITY PLZ
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-6202
- Phone
- (973) 435-9463
Authorized Official
- Name
- KUSHABHADRA DAS
- Title
- CEO
- Phone
- (862) 812-9010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
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