Organization
SUNRISE OBSTETRICS AND GYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA PRZYTULA (OFFICE MANAGER)
(732) 972-4200
Entity
Organization
Contact information
Practice address
831 TENNENT RD, MANALAPAN, NJ 07726-8288
(732) 972-4200
(732) 536-4288
Mailing address
831 TENNENT RD, MANALAPAN, NJ 07726-8288
(732) 972-4200
(732) 536-4288
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9112901
—
NJ
Enumeration date
02/04/2009
Last updated
02/24/2016
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