Organization
NEW JERSEY UROLOGY ASSOCIATES,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA D TANZER M.D. (PRESIDENT-C.E.O.)
(201) 788-2437
Entity
Organization
Contact information
Practice address
110 MEADOWLANDS PKWY # B, SUITE 302, SECAUCUS, NJ 07094-2302
(201) 867-1297
(201) 867-4165
Mailing address
PO BOX 250, SADDLE RIVER, NJ 07458-0250
(201) 962-3919
(201) 962-3698
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA030534
NJ
Other
Enumeration date
01/26/2007
Last updated
05/22/2008
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