Organization
PASCACK VALLEY SURGICAL ASSOCIATION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L HOLUP D.O. (SURGEON)
(201) 227-7411
Entity
Organization
Contact information
Practice address
140 GRAND AVE, ENGLEWOOD, NJ 07631-6581
(201) 227-7411
(201) 227-7433
Mailing address
PO BOX 729, FRANKLIN LAKES, NJ 07417-0729
(201) 227-7411
(201) 227-7433
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MB57235
NJ
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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