Organization
SNS LAPAROSCOPY SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI M NEUBECK (BILLING MANAGER)
(610) 941-4433
Entity
Organization
Contact information
Practice address
48 SOUTH NEW ROAD, SUITE B2, SMITHVILLE, NJ 08205
(609) 287-3770
Mailing address
9 RUTH CT, ABSECON, NJ 08201-1813
(609) 287-3770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7560600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001147
—
NJ
Enumeration date
08/06/2009
Last updated
08/06/2009
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