Organization
HERITAGE LAPAROSCOPY ACUTE CARE SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S RADVINSKY MD (INCORPORATOR)
(201) 873-0500
Entity
Organization
Contact information
Practice address
9 POST RD STE M7, OAKLAND, NJ 07436-1615
(201) 833-2888
Mailing address
17-05 GREENWOOD DR, FAIR LAWN, NJ 07410-4533
(201) 873-0500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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