Organization
PARK WEST SURGICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARGYRIOS MAVROGIORGIS (REGISTERED AGENT)
(201) 862-9300
Entity
Organization
Contact information
Practice address
75 CENTRAL PARK W, NEW YORK, NY 10023-6055
(201) 871-4000
(201) 608-6852
Mailing address
75 S DEAN ST, ENGLEWOOD, NJ 07631-3512
(201) 862-9300
(201) 608-6852
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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