Organization
NORTHWEST SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MEISNER MD (PRESIDENT)
(973) 328-1414
Entity
Organization
Contact information
Practice address
121 CENTER GROVE RD, RANDOLPH, NJ 07869-4453
(973) 328-1414
Mailing address
121 CENTER GROVE RD, RANDOLPH, NJ 07869-4453
(973) 328-1414
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
09/24/2008
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