# MID-ATLANTIC SURGICAL ASSOC.

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

## Provider details

- **NPI number:** 1619977741
- **Authorized official:** DOUGLAS A IRVIN (ADMINISTRATOR)
- **Authorized official phone:** (973) 971-7300

## Contact information

- **Practice address:** 100 MADISON AVE, GAGNON LEVEL C, MORRISTOWN, NJ 07960-6136
- **Practice address phone:** (973) 971-7300
- **Practice address fax:** (973) 984-7019
- **Mailing address:** MID-ATLANTIC SURGICAL ASSOCIATES, 100 MADISON AVENUE, 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:** 07/29/2005
- **Last updated:** 07/21/2022