Provider Demographics
NPI:1851845457
Name:BERGEN COUNTY GYNECOLOGY, P.C.
Entity Type:Organization
Organization Name:BERGEN COUNTY GYNECOLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:EUN SUN
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-589-1071
Mailing Address - Street 1:PO BOX 899
Mailing Address - Street 2:SUITE #300
Mailing Address - City:ALPINE
Mailing Address - State:NJ
Mailing Address - Zip Code:07620-0899
Mailing Address - Country:US
Mailing Address - Phone:516-589-1071
Mailing Address - Fax:
Practice Address - Street 1:106 GRAND AVE
Practice Address - Street 2:SUITE #300
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-3574
Practice Address - Country:US
Practice Address - Phone:516-589-1071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty