Provider Demographics
NPI:1245494426
Name:OBGYN ASSOCIATES OF NORTH JERSEY
Entity type:Organization
Organization Name:OBGYN ASSOCIATES OF NORTH JERSEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:KITZIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-869-5488
Mailing Address - Street 1:20 PROSPECT AVE
Mailing Address - Street 2:SUITE 805
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1997
Mailing Address - Country:US
Mailing Address - Phone:201-869-5488
Mailing Address - Fax:201-869-6944
Practice Address - Street 1:20 PROSPECT AVE
Practice Address - Street 2:SUITE 805
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1997
Practice Address - Country:US
Practice Address - Phone:201-869-5488
Practice Address - Fax:201-869-6944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA28228174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty