Bergen Pain Clinic LLC

NPI #1497226971 in Englewood Cliffs, New Jersey

Provider Information

NPI Number: 1497226971
Entity Type: Organization
Organization Name: Bergen Pain Clinic LLC
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Dec 10, 2018
Last Updated: Dec 10, 2018

Practice Location

Address: 333 SYLVAN AVE STE 326
City: Englewood Cliffs
State: New Jersey
ZIP Code: 07632-2724
Phone: (201) 408-5016

Authorized Official

Name: MARIEVIC BALAAG EBORA FERNANDO, PT,DPT
Title: MANAGER
Phone: (201) 408-5016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X
Physical Therapist	225100000X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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