HACKENSACK UNIVERSITY MEDICAL CENTER NPI 1801952825

NPI Information

HACKENSACK UNIVERSITY MEDICAL CENTER is a prosthetic orthotic supplier in Hackensack, NJ. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. HACKENSACK UNIVERSITY MEDICAL CENTER NPI is 1801952825. The provider is registered as an organization entity type.
The provider Is Doing Business As Ellen H. Lazar Shoppe On Fifth.

The provider's business location address is:

20 PROSPECT AVE
SUITE 505
HACKENSACK, NJ
ZIP 07601-997
Phone: (201) 996-4400

The provider's authorized official is Constance M. Niclas .
The authorized official title is Supervisor and has the following contact phone number (201) 996-4400.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 6/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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