Evergreen Medical Group Pc

LBN: Evergreen Medical Group Pc
Evergreen Medical Group Pc is an health care organization with primary practice located at 31-00 Broadway , Fair Lawn NJ 07410-3963. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Evergreen Medical Group Pc can be contacted via phone (201) 791-7771, or through Shtender, Grigory via phone (201) 791-7771.

Contact Information

Primary practice address
31-00 Broadway Fair Lawn NJ 07410-3963
Phone: (201) 791-7771
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shtender, Grigory Doctor of Medicine (MD)
Phone: (201) 791-7771

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1295516409
LBN Legal business name Evergreen Medical Group Pc
DBA Doing business as
Authorized official Shtender, Grigory Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2023
Last updated Oct 12th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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