MEDICARE: HUDSON PHYSICIANS ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MA07986300	NJ

General Provider Information

NPI Number	:	1699192054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUDSON PHYSICIANS ASSOCIATES

Provider Business Mailing Address
First Line	:	40 UNION AVE STE 204
Second Line	:
City	:	IRVINGTON
State	:	NJ
Zip	:	07111-3290
Country	:	US
Telephone Number	:	973-416-6981
Fax Number	:	973-375-5766

Provider Business Practice Location Address
First Line	:	40 UNION AVE STE 204
Second Line	:
City	:	IRVINGTON
State	:	NJ
Zip	:	07111-3290
Country	:	US
Telephone Number	:	973-416-6981
Fax Number	:	973-375-5766

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MORRIS BELLIFEMINE
Credential	:	M.D
Telephone Number	:	201-864-4505

Provider Enumeration Date	:	03/24/2014
Last Update Date	:	03/24/2014

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