Organization
MINIMALLY INVASIVE SURGEONS OF SOUTH JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DELROSARIO M.D. (OWNER)
(609) 652-3655
Entity
Organization
Contact information
Practice address
76 WEST JIMMIE LEEDS ROAD, SUITE 503, GALLOWAY, NJ 08205
(609) 652-3655
Mailing address
76 WEST JIMMIE LEEDS ROAD, SUITE 503, GALLOWAY, NJ 08205
(609) 652-3655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001139
—
NJ
Enumeration date
10/03/2006
Last updated
08/04/2010
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