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Organization

MANSURG LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWIN P KANE (AUTHORIZED OFFICE)
(973) 778-0100
Entity
Organization

Contact information

Practice address
1100 CLIFTON AVE, CLIFTON, NJ 07013-3631
(973) 778-0100
(973) 778-2029
Mailing address
1360 CLIFTON AVE, #330, CLIFTON, NJ 07012-1343
(973) 778-0100
(973) 778-2029

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA08977300
NJ

Other

Enumeration date
09/06/2011
Last updated
09/06/2011
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