Organization
OLD HOOK MEDICAL ASSOCIATES, LLC
Active
Parent organization
OLD HOOK MEDICAL ASSOCIATES LLC
Other names
OLD HOOK MEDICAL ASSOCIATES SURGICENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLD HOOK MEDICAL ASSOCIATES LLC
Authorized official
MR. JAIME LIJO CCS-P (BILLING/CREDENTIALING)
(201) 666-3900
Entity
Organization
Contact information
Practice address
452 OLD HOOK RD, EMERSON, NJ 07630-1381
(201) 666-3900
(201) 261-0505
Mailing address
452 OLD HOOK RD, EMERSON, NJ 07630-1381
(201) 666-3900
(201) 261-0505
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1092980
NJ
Other
Enumeration date
06/23/2006
Last updated
05/31/2016
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