Organization
EDGE SURGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURIZIO MIGLIETTA D.O. (PRESIDENT)
(201) 280-6150
Entity
Organization
Contact information
Practice address
36 MCGRATH DR, CRESSKILL, NJ 07626-1745
(201) 280-6150
(888) 909-4197
Mailing address
36 MCGRATH DR, CRESSKILL, NJ 07626-1745
(201) 280-6150
(888) 909-4197
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MB067108
NJ
2086S0102X
Surgical Critical Care Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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