Organization
MID-ATLANTIC SURGICAL ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS A IRVIN (ADMINISTRATOR)
(973) 971-7300
Entity
Organization
Contact information
Practice address
100 MADISON AVE, GAGNON LEVEL C, MORRISTOWN, NJ 07960-6136
(973) 971-7300
(973) 984-7019
Mailing address
MID-ATLANTIC SURGICAL ASSOCIATES, 100 MADISON AVENUE, MORRISTOWN, NJ 07960
(973) 971-7300
(973) 984-7019
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3552501
—
NJ
Enumeration date
07/29/2005
Last updated
07/21/2022
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