Organization
CENTRAL NEUROSURGICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA KASOFF M.D. (PRESIDENT)
(732) 545-9403
Entity
Organization
Contact information
Practice address
88 HUNTINGTON ST, NEW BRUNSWICK, NJ 08901-1003
(732) 545-9403
(732) 545-6224
Mailing address
88 HUNTINGTON ST, NEW BRUNSWICK, NJ 08901-1003
(732) 545-9403
(732) 545-6224
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA03335600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405001
—
NJ
Enumeration date
06/10/2011
Last updated
06/10/2011
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