Organization
AAA COMMUNITY SURGICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVID FRIED (CEO)
(732) 349-2990
Entity
Organization
Contact information
Practice address
163 RTE 37 W, TOMS RIVER, NJ 08755-8046
(732) 349-2990
(732) 505-4450
Mailing address
PO BOX 4686, 1390 RT 37 WEST, TOMS RIVER, NJ 08754-4686
(732) 349-2990
(732) 505-4450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
333600000X
Pharmacy
Primary
28RS00211800
NJ
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3117961
NABP
—
05
—
4265904
—
NJ
Enumeration date
07/09/2006
Last updated
12/18/2012
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