Organization
SURGICAL SPECIALTIES OF NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIAGIO MANNA D.O. (OWNER)
(609) 584-1560
Entity
Organization
Contact information
Practice address
1445 WHITEHORSE MERCERVILLE RD, SUITE 111, MERCERVILLE, NJ 08619-3834
(609) 584-1560
Mailing address
PO BOX 3204, MERCERVILLE, NJ 08619-0204
(609) 584-1560
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25MB06598500
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25MB06598500
NJ
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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