Organization
MENDING HANDS SURGICAL ASSISTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL TILTON RNFA (PRESIDENT)
(609) 351-4647
Entity
Organization
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 351-4647
Mailing address
55 EVERGREEN LN, BURLINGTON, NJ 08016-3130
(609) 351-4647
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO09327300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578097879
RNFA
NJ
Enumeration date
03/27/2018
Last updated
03/27/2018
Update your record
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