Organization
ABBEY ROAD OFFICE BASED SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B JETTER MD (OWNER)
(212) 517-5200
Entity
Organization
Contact information
Practice address
737 PARK AVE, NEW YORK, NY 10021-4256
(212) 517-5200
(212) 737-5657
Mailing address
737 PARK AVE, NEW YORK, NY 10021-4256
(212) 517-5200
(212) 737-5657
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2009
Last updated
09/03/2009
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