Obgyn Associates Of Englewood

LBN: Obgyn Associates Of Englewood
Obgyn Associates Of Englewood is an health care organization with primary practice located at 177 North Dean Street Suite 208, Englewood NJ 07631. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Obgyn Associates Of Englewood can be contacted via phone (201) 569-0200, or through Tisch, Bruce Herman via phone (201) 569-0200.

Contact Information

Primary practice address
177 North Dean Street Suite 208 Englewood NJ 07631
Fax: (201) 569-8287
Website:
Authorized official contact:
Name: Tisch, Bruce Herman Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MA31321 New Jersey

Profile Details

NPI number 1033290432
LBN Legal business name Obgyn Associates Of Englewood
DBA Doing business as
Authorized official Tisch, Bruce Herman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 18th, 2006
Last updated Mar 28th, 2013 - about 11 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1033290432 NPPES
New Jersey MEDICAID 4719301

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