NPI 1841500881
Bergen Neurology and Pain Management PA
Practice location
- Address
- 600 Pavonia Ave 3rd Floor, Jersey City, NJ 07306-2929
- Phone
- (201) 420-1522
- Fax
- (201) 420-1633
- Mailing address
- PO Box 50, Livingston, NJ 07039-0050
Authorised official
- Name
- Vijaya R Dasika
- Title
- President
- Phone
- (973) 735-4655
Registered specialties
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
Registry record
- NPI
- 1841500881
- Entity type
- Organization
- NPI issued
- 8 Oct 2010
- Record last updated
- 11 Nov 2010
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.