Organization
NEW JERSEY CRITICAL CARE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W. GORECHLAD MD (OWNER)
(848) 250-9361
Entity
Organization
Contact information
Practice address
600 RIVER AVE, LAKEWOOD, NJ 08701-5237
(848) 275-1805
Mailing address
11 BROOKSIDE DR, RUMSON, NJ 07760-1005
(848) 275-1805
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
12/29/2021
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