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Specialty details in registry · Hackensack, NJ

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At a glance

2 University Plz Ste 204, Hackensack, NJ 07601-6211

NPPES record updated Jul 7, 2026. Public records can lag behind changes at a practice.

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Practice location

2 University Plz Ste 204
Hackensack, NJ 07601-6211

Professional details: NPI, taxonomy & registry record

NPI1639097702

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 207QG0300X
Enumeration date: Jul 7, 2026
Record updated: Jul 7, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207QG0300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2 University Plz Ste 204
Hackensack, NJ 07601-6211

Phone: (551) 295-8223

Mailing address

2 UNIVERSITY PLZ STE 204

HACKENSACK, NJ 076016211

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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