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Organization

SUBURBAN ENDOSCOPY CENTER, LLC

Active
Other names
UAP Verona Endo
Organization subpart
No

Provider details

NPI number
Authorized official
JENETHA MORAN (OFFICER/AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization

Contact information

Practice address
799 BLOOMFIELD AVE, SUITE 101, VERONA, NJ 07044-1367
(973) 571-1600
(973) 571-1882
Mailing address
799 BLOOMFIELD AVE, SUITE 101, VERONA, NJ 07044-1367
(973) 571-1600
(973) 571-1882

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
12/13/2011
Last updated
12/13/2011
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