Organization
CORNELL SURGICAL CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD M SHIFFMAN (PRESIDENT CEO)
(201) 384-9000
Entity
Organization
Contact information
Practice address
30 NEW BRIDGE ROAD, BERGENFIELD, NJ 07621-4304
(201) 384-9000
(201) 384-9111
Mailing address
30 NEW BRIDGE ROAD, BERGENFIELD, NJ 07621-4304
(201) 384-9000
(201) 384-9111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0479180
AETNA USH
—
01
—
1024600
HORIZON NJ HEALTH
—
05
—
2540401
—
NJ
01
—
37529
AMERIGROUP
—
01
—
A530114
OXFORD
—
Enumeration date
02/05/2007
Last updated
05/07/2015
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