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Organization

GENERAL SURGERY PRACTICE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN PAUL SHIKIAR MD (GENERAL SURGEON)
(201) 541-7940
Entity
Organization

Contact information

Practice address
140 GRAND AVE, ENGLEWOOD, NJ 07631-6581
(201) 541-7940
(201) 541-7942
Mailing address
140 GRAND AVE, ENGLEWOOD, NJ 07631-6581
(201) 541-7940
(201) 541-7942

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA59823
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5594006
NJ
Enumeration date
03/15/2007
Last updated
10/07/2013
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