Organization
CENTRAL JERSEY SPECIALTY SURGICAL ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNE RYAN CPC (OFFICE MANAGER)
(732) 389-1331
Entity
Organization
Contact information
Practice address
10 INDUSTRIAL WAY E, SUITE 104, EATONTOWN, NJ 07724-3332
(732) 389-1331
(732) 542-8587
Mailing address
10 INDUSTRIAL WAY E, SUITE 104, EATONTOWN, NJ 07724-3332
(732) 389-1331
(732) 542-8587
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA66353
NJ
208C00000X
Colon & Rectal Surgery Physician
MA51693
NJ
208C00000X
Colon & Rectal Surgery Physician
MB63380
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8296901
—
NJ
Enumeration date
07/19/2006
Last updated
07/14/2014
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