Provider Demographics
NPI:1588224018
Name:BERGEN INFECTIOUS DISEASES ASSOCIATES INC
Entity Type:Organization
Organization Name:BERGEN INFECTIOUS DISEASES ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ERINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHADKA KUNWAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-300-2768
Mailing Address - Street 1:110 CHESTNUT RIDGE RD # 337
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-1706
Mailing Address - Country:US
Mailing Address - Phone:201-300-2768
Mailing Address - Fax:973-358-8343
Practice Address - Street 1:185 CEDAR LN STE U8
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4303
Practice Address - Country:US
Practice Address - Phone:201-300-2768
Practice Address - Fax:973-358-8343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty