Organization
NEW JERSEY NEUROPHYSIOLOGICAL MONITORING SERIVCES, PC
Active
Parent organization
INTRA-OP MONITORING SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTRA-OP MONITORING SERVICES, LLC
Authorized official
MICHAEL IAN VENGROW MD (PRESIDENT)
(866) 845-4595
Entity
Organization
Contact information
Practice address
76 STARBRUSH CIR, COVINGTON, LA 70433
(866) 845-4595
(866) 845-8810
Mailing address
76 STARBRUSH CIR, COVINGTON, LA 70433
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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