Organization
ALC SURGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNA LIZA N CRISTOBAL RNFA (AUTHORIZED REPRESENTATIVE)
(973) 957-0551
Entity
Organization
Contact information
Practice address
20 HENRIETTA DRIVE, FAIRFIELD, NJ 07004
(973) 957-0551
(866) 329-0698
Mailing address
30 W CENTURY RD, SUITE 225, PARAMUS, NJ 07652-1433
(201) 986-1003
(201) 986-1680
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO11414700
NJ
Other
Enumeration date
07/28/2009
Last updated
07/19/2019
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