Organization
OUTPATIENT SURGERYANESTHESIA SERVICES
Active
Organization
OUTPATIENT SURGERYANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRATTELLONE DMD (OWNER)
(732) 842-5915
Entity
Organization
Contact information
Practice address
515 NEWMAN SPRINGS RD, LINCROFT, NJ 07738-1426
(732) 842-5915
Mailing address
515 NEWMAN SPRINGS RD, LINCROFT, NJ 07738-1426
(732) 842-5915
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NJ
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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