Provider Demographics
NPI:1457483976
Name:BRESCIA & MIGLIACCIO MD PC
Entity Type:Organization
Organization Name:BRESCIA & MIGLIACCIO MD PC
Other - Org Name:BRESCIA & MIGLIACCIO OB-GYN
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-659-7700
Mailing Address - Street 1:1131 WASHINGTON ST
Mailing Address - Street 2:D'ALBERTI MEDICAL OFFICE
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5390
Mailing Address - Country:US
Mailing Address - Phone:201-659-7700
Mailing Address - Fax:201-659-7701
Practice Address - Street 1:1131 WASHINGTON ST
Practice Address - Street 2:D'ALBERTI MEDICAL OFFICE
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5390
Practice Address - Country:US
Practice Address - Phone:201-659-7700
Practice Address - Fax:201-659-7701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA070851207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty