Healthcare Provider Details

I. General information

NPI: 1316738560
Provider Name (Legal Business Name): BGHM INTERNATIONAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2025
Last Update Date: 05/16/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 KINDERKAMACK RD STE 201
ORADELL NJ
07649-1500
US

IV. Provider business mailing address

550 KINDERKAMACK RD STE 201
ORADELL NJ
07649-1500
US

V. Phone/Fax

Practice location:
  • Phone: 551-804-7243
  • Fax:
Mailing address:
  • Phone: 551-804-7243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL LANCE MARGOLIN
Title or Position: OWNER
Credential: DPM
Phone: 551-804-7243