Organization
PALISADES SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURIZIO ADRIANO MIGLIETTA D.O. (PRESIDENT)
(888) 320-0922
Entity
Organization
Contact information
Practice address
690 KINDERKAMACK RD STE 202, ORADELL, NJ 07649-1524
(888) 320-0922
(888) 909-4197
Mailing address
309 NEWARK AVE, POINT PLEASANT BEACH, NJ 08742-4141
(201) 280-6150
(888) 909-4197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MB67108
NJ
2086S0102X
Surgical Critical Care Physician
MB67108
NJ
2086S0127X
Trauma Surgery Physician
MB67108
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7648707
—
NJ
Enumeration date
03/30/2007
Last updated
11/10/2024
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