Organization
UNIVERSITY SURGICAL ASSOCIATES (OM)
Active
Parent organization
UPA-OM, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPA-OM, LLC
Authorized official
DAVID HAIER (CEO/EXECUTIVE DIRECTOR)
(973) 972-5004
Entity
Organization
Contact information
Practice address
90 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-2400
Mailing address
30 BERGEN ST # 1205, NEWARK, NJ 07107-3000
(973) 972-5004
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0127X
Trauma Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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