Organization
SUBURBAN ENDOSCOPY CENTER, LLC
Active
Organization
SUBURBAN ENDOSCOPY CENTER, LLC
Active
Other names
UAP Verona Endo
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA D MORAN (AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
799 BLOOMFIELD AVE, SUITE 101, VERONA, NJ 07044-1367
(973) 571-1600
(973) 571-1882
Mailing address
799 BLOOMFIELD AVE, SUITE 101, VERONA, NJ 07044-1367
(973) 571-1600
(973) 571-1882
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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