Organization
GENERAL VASCULAR SURGICAL ASSOCIATES OF SOUTH JERSEY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY S PILLA MD (PRESIDENT)
(856) 848-8242
Entity
Organization
Contact information
Practice address
17 W RED BANK AVE, SUITE 203, WOODBURY, NJ 08096-1630
(856) 848-8242
Mailing address
17 W RED BANK AVE, SUITE 203, WOODBURY, NJ 08096-1630
(856) 848-8242
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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