Organization
NORTH JERSEY SURGICAL ASSISTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL T. DIERLAM MD (OWNER)
(908) 268-2754
Entity
Organization
Contact information
Practice address
651 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840-1799
(908) 852-5100
Mailing address
PO BOX 62, LONG VALLEY, NJ 07853-0062
(201) 804-2800
(201) 804-8883
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA05562800
NJ
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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