Healthcare Provider Details

I. General information

NPI: 1982631883
Provider Name (Legal Business Name): SADDLE BROOK MEDICAL CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 07/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 MARKET ST # B-4
SADDLE BROOK NJ
07663-5300
US

IV. Provider business mailing address

383 B MARKET STREET B-4
SADDLE BROOK NJ
07663
US

V. Phone/Fax

Practice location:
  • Phone: 201-712-7900
  • Fax: 201-712-7902
Mailing address:
  • Phone: 201-712-7900
  • Fax: 201-712-7902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN C KOLLAR
Title or Position: SURGEON
Credential: DO
Phone: 201-712-7900