Organization
COLON & RECTAL SURGERY OF NORTH JERSEY, L.L.C.
Active
Organization
COLON & RECTAL SURGERY OF NORTH JERSEY, L.L.C.
Active
Other names
North Jersey Colon & Rectal Sugery Associates, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL SCOTT NIZIN M.D. (MANAGER)
(201) 689-9100
Entity
Organization
Contact information
Practice address
140 CHESTNUT ST, SUITE NUMBER 301, RIDGEWOOD, NJ 07450-2599
(201) 689-9100
Mailing address
140 CHESTNUT ST, SUITE NUMBER 301, RIDGEWOOD, NJ 07450-2599
(201) 689-9100
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MA44217
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7970404
—
NJ
05
—
MAI0505803
—
NJ
Enumeration date
11/16/2009
Last updated
11/16/2009
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