Organization
WOODBURY SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOSEPH MILLILI M.D. (PRESIDENT)
(856) 845-0500
Entity
Organization
Contact information
Practice address
127 N BROAD ST, WOODBURY, NJ 08096-1718
(856) 845-0500
(856) 384-8757
Mailing address
127 N BROAD ST, WOODBURY, NJ 08096-1718
(856) 845-0500
(856) 384-8757
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3350002
—
NJ
Enumeration date
07/17/2006
Last updated
08/22/2020
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