Hackensack Medical Group LLC

NPI #1649904772 in Hackensack, New Jersey

Provider Information

NPI Number: 1649904772
Entity Type: Organization
Organization Name: Hackensack Medical Group LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 14, 2022
Last Updated: Jul 14, 2022

Practice Location

Address: 341 ESSEX ST
City: Hackensack
State: New Jersey
ZIP Code: 07601-2048
Phone: (973) 234-0779

Authorized Official

Name: DR. LIONEL ANICETTE JR., MD
Title: MEDICAL DIRECTOR
Phone: (973) 234-0779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Care	251J00000X
Clinic/Center	261Q00000X
Substance Abuse Rehabilitation Facility	324500000X
Non-emergency Medical Transport (VAN)	343900000X
Internal Medicine	207R00000X	Primary

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