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Contact Information

BERGEN SURGICAL ONCOLOGY, PA
1 VALLEY HEALTH PLZ
PARAMUS, NJ07652-3628
 Phone: 201-634-5438
 Fax: 201-634-5352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BERGEN SURGICAL ONCOLOGY, PA

NPI # 1083876171
LBN Legal business name BERGEN SURGICAL ONCOLOGY, PA
Authorized official ANUSAK YIENGPRUKSAWAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2008
Last updated 02/23/2010 - About 16 years ago
Identifiers
NJ License # 25MA05981200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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