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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