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General NPI Number Information
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NPI Number | 1851845457
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Entity Type | Organization
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Legal Business Name | BERGEN COUNTY GYNECOLOGY, P.C.
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 106 GRAND AVE SUITE #300
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3574
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Country | US
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Telephone | 516-589-1071
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 899 SUITE #300
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City | ALPINE
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State | NJ
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Zip | 07620-0899
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Country | US
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Telephone | 516-589-1071
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JENNIFER EUN SUN CHO
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Credential | M.D.
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Telephone | 516-589-1071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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