Organization
NORTH JERSEY COLON & RECTAL SURGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL S NIZIN M.D. (VP)
(201) 791-4002
Entity
Organization
Contact information
Practice address
4-14 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5632
(201) 791-4002
(201) 791-7040
Mailing address
4-14 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5632
(201) 791-4002
(201) 791-7040
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MA44217
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439207
—
NJ
05
—
0505803
—
NJ
05
—
1008706
—
NJ
05
—
7970404
—
NJ
Enumeration date
12/06/2006
Last updated
09/17/2008
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