Organization
SURGAIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH EMANUEL (PRESIDENT)
(973) 774-5050
Entity
Organization
Contact information
Practice address
555 KINDERKAMACK RD, ORADELL, NJ 07649-1517
(201) 262-0075
(201) 262-9440
Mailing address
P O BOX 4397, CLIFTON, NJ 07012
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA02149700
NJ
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA02149700
NJ
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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