Organization
PRN SURGICAL ASSISTANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET CAROLYN MALECKA RNFA (OWNER)
(856) 985-9375
Entity
Organization
Contact information
Practice address
9 PONTIAC DR, MEDFORD, NJ 08055-8115
(856) 985-9375
(856) 985-9375
Mailing address
9 PONTIAC DR, MEDFORD, NJ 08055-8115
(856) 985-9375
(856) 985-9375
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR06899400
NJ
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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