Hackensack Internal Medicine Specialists, P.a.

NPI #1427241801 in Hackensack, New Jersey

Provider Information

NPI Number: 1427241801
Entity Type: Organization
Organization Name: Hackensack Internal Medicine Specialists, P.a.
Primary Specialty: Internal Medicine
Enumeration Date: Aug 20, 2007
Last Updated: Aug 20, 2007

Practice Location

Address: 155 POLIFLY RD
Address 2: SUITE 207
City: Hackensack
State: New Jersey
ZIP Code: 07601-1758
Phone: (201) 489-9119

Authorized Official

Name: MARY KELLY, RN, APN-C
Title: MANAGING EMPLOYEE / OFFICIAL
Phone: (201) 489-9119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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