Provider Demographics
NPI:1053645150
Name:BERGEN HAND SPECIALISTS, INC.
Entity Type:Organization
Organization Name:BERGEN HAND SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:YLENIA
Authorized Official - Last Name:GIUFFRIDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-880-4200
Mailing Address - Street 1:25 PROSPECT AVE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1960
Mailing Address - Country:US
Mailing Address - Phone:201-880-4200
Mailing Address - Fax:201-880-4201
Practice Address - Street 1:25 PROSPECT AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1960
Practice Address - Country:US
Practice Address - Phone:201-880-4200
Practice Address - Fax:201-880-4201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08394500207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty