Healthcare Provider Details

I. General information

NPI: 1033105234
Provider Name (Legal Business Name): BERGEN CENTER FOR ARTHRITIS & RHEUMATOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 ANDERSON AVE
CLIFFSIDE PARK NJ
07010-1721
US

IV. Provider business mailing address

532 ANDERSON AVE
CLIFFSIDE PARK NJ
07010-1721
US

V. Phone/Fax

Practice location:
  • Phone: 201-945-4074
  • Fax: 201-945-4070
Mailing address:
  • Phone: 201-945-4074
  • Fax: 201-945-4070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMA027958
License Number StateNJ

VIII. Authorized Official

Name: DR. WILLIAM ROBERT SEELIGER
Title or Position: PRESIDENT TREASURER
Credential: MD
Phone: 201-945-4075