Organization
SURGICAL PA SERVICES, PC
Active
Organization
SURGICAL PA SERVICES, PC
Active
Other names
Surgical PA Services, PC
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB KATANOV PA (PRESIDENT)
(646) 346-4304
Entity
Organization
Contact information
Practice address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
(646) 346-4304
Mailing address
6524 ELLWELL CRES, REGO PARK, NY 11374-5032
(646) 346-4304
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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