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Organization

LAURIE KRUM SURGICAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE J KRUM APN-C (AUTHORIZED OFFICIAL)
(201) 265-2314
Entity
Organization

Contact information

Practice address
204 HAASE AVE, PARAMUS, NJ 07652-4508
(201) 265-2314
(201) 265-1431
Mailing address
204 HAASE AVE, PARAMUS, NJ 07652-4508
(201) 265-2314
(201) 265-1431

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
081637
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00137000
NJ

Other

Enumeration date
10/23/2007
Last updated
10/23/2007
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