Organization
UPA NP LLC
Active
Other names
University Surgical Associates NP
Organization subpart
No
Provider details
NPI number
Authorized official
SIMI BAKSHI (CHIEF FINANCIAL OFFICER)
(973) 972-6713
Entity
Organization
Contact information
Practice address
30 BERGEN STREET, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Mailing address
30 BERGEN STREET, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
05/29/2007
Last updated
10/08/2008
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