Bergenline Family Medicine
NPI #1811207475 in West New York, New Jersey
Provider Information
- NPI Number
- 1811207475
- Entity Type
- Organization
- Organization Name
- Bergenline Family Medicine
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 18, 2010
- Last Updated
- Jan 4, 2011
Practice Location
- Address
- 333 60TH ST
- City
- West New York
- State
- New Jersey
- ZIP Code
- 07093-5487
- Phone
- (201) 453-8777
Authorized Official
- Name
- DR. GIL V. FAJARDO, M.D.
- Title
- DIRECTOR
- Phone
- (201) 453-8777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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