Organization
OASIS MEDICAL AND SURGICAL WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SHEPHERD MBA (VP)
(844) 366-8800
Entity
Organization
Contact information
Practice address
85 HARRISTOWN RD, SUITE 103, GLEN ROCK, NJ 07452-3307
(844) 366-8800
Mailing address
85 HARRISTOWN RD, SUITE 103, GLEN ROCK, NJ 07452-3307
(844) 366-8800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06309600
NJ
Other
Enumeration date
10/26/2014
Last updated
08/23/2016
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