Organization
EMPIRE SURGICAL ASSISTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADER MOAVEN MD (CEO)
(973) 376-0540
Entity
Organization
Contact information
Practice address
264 BOYDEN AVE, MAPLEWOOD, NJ 07040-3070
(973) 761-5200
(973) 761-7617
Mailing address
264 BOYDEN AVE, MAPLEWOOD, NJ 07040-3070
(973) 761-5200
(973) 761-7617
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA05812900
NJ
363AM0700X
Medical Physician Assistant
25MA05812900
NJ
363AS0400X
Surgical Physician Assistant
25MA05812900
NJ
Other
Enumeration date
01/15/2016
Last updated
10/11/2016
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