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Contact Information

BERGEN SPINE AND SPORT, LLC
10 WILSEY SQ STE 132
RIDGEWOOD, NJ07450-3729
 Phone: 201-389-8987
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BERGEN SPINE AND SPORT, LLC

NPI Number 1225507643
LBN Legal business name BERGEN SPINE AND SPORT, LLC
Authorized official GIUSEPPE GIOVATTO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/14/2018
Last updated 11/14/2018 - About 8 years ago
Identifiers n/a
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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