Organization
SELECT SURGICAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KATHY FUENTES (OFFICE MANAGER)
(973) 790-7655
Entity
Organization
Contact information
Practice address
502 HAMBURG TPKE, SUITE 105, WAYNE, NJ 07470-8431
(973) 790-7655
(973) 942-8818
Mailing address
502 HAMBURG TPKE, SUITE 105, WAYNE, NJ 07470-8431
(973) 790-7655
(973) 942-8818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA40452
NJ
Other
Enumeration date
05/27/2008
Last updated
05/29/2012
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