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Organization
JC SURGICAL FIRST ASSIST, LLC
Active
Organization
JC SURGICAL FIRST ASSIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNE CHODAK RN FIRST ASSIST (OFFICER)
(732) 552-9856
Entity
Organization
Contact information
Practice address
99 ROUTE 37 W, TOMS RIVER, NJ 08755-6423
(732) 552-9856
Mailing address
PO BOX 216, BEACHWOOD, NJ 08722-0216
(732) 552-9856
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO10709900
NJ
Other
Enumeration date
02/23/2007
Last updated
04/30/2010
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