# MID-ATLANTIC SURGICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023000130
- **Authorized official:** DOUGLAS A IRVIN (ADMINISTRATOR)
- **Authorized official phone:** (973) 971-7307

## Contact information

- **Practice address:** 1944 ROUTE 33, STE 201, NEPTUNE, NJ 07753-4862
- **Practice address phone:** (732) 776-4622
- **Practice address fax:** (732) 776-3765
- **Mailing address:** MID-ATLANTIC SURGICAL ASSOCIATES, 100 MADISON AVE, MORRISTOWN, NJ 07960
- **Mailing address phone:** (973) 971-7300
- **Mailing address fax:** (973) 984-7019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NJ | Yes |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 07/12/2007