Organization
NEUROSURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA NIELI (CREDENTIALING SPECIALIST)
(914) 376-6100
Entity
Organization
Contact information
Practice address
326A 6TH ST, SADDLE BROOK, NJ 07663-6306
(914) 376-6100
(914) 470-5056
Mailing address
326A 6TH ST, SADDLE BROOK, NJ 07663-6306
(914) 376-6100
(914) 470-5056
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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