Organization
ABC SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE LOPEZ-CANINO (PRESIDENT OF LLC)
(973) 759-4490
Entity
Organization
Contact information
Practice address
5 FRANKLIN AVE, SUITE 406, BELLEVILLE, NJ 07109-3532
(973) 759-4490
Mailing address
5 FRANKLIN AVE, SUITE 406, BELLEVILLE, NJ 07109-3532
(973) 759-4490
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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