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Organization

SURGICAL SPECIALIST OF NEW JERSEY NEW YORK PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY M. LEGG (CREDENTIALING COORDINATOR)
(347) 584-8903
Entity
Organization

Contact information

Practice address
54 S DEAN ST, ENGLEWOOD, NJ 07631-3514
(718) 626-0707
(718) 545-0333
Mailing address
54 S DEAN ST, ENGLEWOOD, NJ 07631-3514
(718) 626-0707
(718) 545-0333

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
03/22/2019
Last updated
03/22/2019
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