Organization
INTRA-OP FIRST ASSIST SERVICES
Active
Organization
INTRA-OP FIRST ASSIST SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP D ROSE PA-C (OWNER)
(201) 357-5468
Entity
Organization
Contact information
Practice address
492 CEDAR LN BLDG C, #340, TEANECK, NJ 07666-1713
(201) 357-5468
Mailing address
492 CEDAR LN BLDG C, #340, TEANECK, NJ 07666-1713
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00182600
NJ
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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