Organization
FIRST ASSIST SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY JACOB (PRESIDENT)
(516) 587-3406
Entity
Organization
Contact information
Practice address
205 HOMESTEAD RD, PARAMUS, NJ 07652-4709
(516) 587-3406
Mailing address
205 HOMESTEAD RD, PARAMUS, NJ 07652-4709
(516) 587-3406
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MA067801
NJ
363AS0400X
Surgical Physician Assistant
25MP00294500
NJ
Other
Enumeration date
11/05/2013
Last updated
06/03/2016
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