Healthcare Provider Details

I. General information

NPI: 1457483976
Provider Name (Legal Business Name): BRESCIA & MIGLIACCIO MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 WASHINGTON ST D'ALBERTI MEDICAL OFFICE
HOBOKEN NJ
07030-5390
US

IV. Provider business mailing address

1131 WASHINGTON ST D'ALBERTI MEDICAL OFFICE
HOBOKEN NJ
07030-5390
US

V. Phone/Fax

Practice location:
  • Phone: 201-659-7700
  • Fax: 201-659-7701
Mailing address:
  • Phone: 201-659-7700
  • Fax: 201-659-7701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMA070851
License Number StateNJ

VIII. Authorized Official

Name: MR. ALLEN HIRSCH
Title or Position: MANAGING CONSULTANT
Credential:
Phone: 201-659-7700