Organization
GENERAL AND VASCULAR SURGICAL ASSOCIATES OF NORTH JERSEY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BENJAMIN BARATTA (OWNER)
(973) 778-6676
Entity
Organization
Contact information
Practice address
905 ALLWOOD RD, SUITE 204, CLIFTON, NJ 07012-1933
(973) 778-6676
(973) 778-2666
Mailing address
905 ALLWOOD RD, SUITE 204, CLIFTON, NJ 07012-1933
(973) 778-6676
(973) 778-2666
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01639394
—
NY
05
—
6423108
—
NJ
Enumeration date
11/09/2006
Last updated
12/09/2008
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