Organization Name: | ENGLEWOOD HEALTHCARE ASSOCIATES PC |
NPI Number: | 1013146620 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID MARK HODGES (PRESIDENT) |
Mailing Address: | 200 Grand Ave Ste 202 Englewood |
State: | NJ US |
Postal Code: | 076314363 |
Phone Number: | 2018169266 |
Fax Number: | 2018169266 |
NPI Enumeration Date: | 07/06/2009 |
NPI Last Update Date: | 04/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 25MA0621600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |