Whalio Doctors

NPI 1316207020

Michele Isaacs Gliksman

Organisation Legal Medicine Bergenfield, NJ

Practice location

Address
155 N Washington Ave, Bergenfield, NJ 07621-1742
Phone
(201) 384-8310
Fax
(201) 384-1085

Authorised official

Name
Kiona Mack
Title
Administrative Medical Assistant
Phone
(201) 384-8310

Registered specialties

Legal Medicine Primary
Other Service Providers Taxonomy 173000000X Licence 25MA06064200 (NJ)

Registry record

NPI
1316207020
Entity type
Organization
NPI issued
29 May 2012
Record last updated
29 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.