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NPI 1316684939

NPI 1316684939 : GAMMS HEALTH : BERGENFIELD, NJ

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General NPI Number Information
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    NPI Number           |    1316684939
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    Entity Type          |    Organization 
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    Legal Business Name  |    GAMMS HEALTH 
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Dates
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    Enumeration Date     |    05/16/2022
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    Last Update Date     |    05/16/2022
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Provider Practice Location Address
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    Address Line         |    40 DUDLEY DR 
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    City                 |    BERGENFIELD
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    State                |    NJ
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    Zip                  |    07621-2614
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    Country              |    US
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    Telephone            |    845-662-2404
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    100 CHALLENGER RD 
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    City                 |    RIDGEFIELD PARK
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    State                |    NJ
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    Zip                  |    07660-2108
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MD
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    Name                 |     JONATHAN  GAMSS 
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    Credential           |    MD
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    Telephone            |    845-662-2404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QU0200X
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    Taxonomy Name        |    Urgent Care Clinic/Center
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    License Number       |    
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    License Number State |    
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