Healthcare Provider Details

I. General information

NPI: 1487871505
Provider Name (Legal Business Name): B&G GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 BELLEVILLE TPKE
KEARNY NJ
07032-3802
US

IV. Provider business mailing address

338 BELLEVILLE TPKE
KEARNY NJ
07032-3802
US

V. Phone/Fax

Practice location:
  • Phone: 201-991-3838
  • Fax: 201-998-4643
Mailing address:
  • Phone: 201-991-3838
  • Fax: 201-998-4643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERNANI SADURAL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 201-991-3838