# SURGICAL NURSE ASSISTANT

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

## Provider details

- **NPI number:** 1477210532
- **Authorized official:** JANA WARDLOW (RNFA)
- **Authorized official phone:** (267) 784-1014

## Contact information

- **Practice address:** 18 E LAUREL RD, STRATFORD, NJ 08084-1327
- **Practice address phone:** (856) 346-6000
- **Mailing address:** 1130 W SOMERDALE RD, SOMERDALE, NJ 08083-2230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | Yes |
| 163WR0006X | Registered Nurse First Assistant | — | — | Yes |

## Other

- **Enumeration date:** 11/23/2021
- **Last updated:** 11/23/2021