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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