Organization
NSURGLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCI H SMITH (OWNER)
(973) 222-2841
Entity
Organization
Contact information
Practice address
6 EDGEWATER PL, BOONTON, NJ 07005-1011
(973) 222-2841
Mailing address
6 EDGEWATER PL, BOONTON, NJ 07005-1011
(973) 222-2841
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO06964400
NJ
Other
Enumeration date
03/13/2007
Last updated
05/07/2008
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