Organization
P'BURG SURGICAL PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY RASTOGI MD (PARTNER)
(908) 454-6711
Entity
Organization
Contact information
Practice address
755 MEMORIAL PKWY, SUITE 208, PHILLIPSBURG, NJ 08865-2748
(908) 454-6711
(908) 454-6447
Mailing address
755 MEMORIAL PKWY, SUITE 208, PHILLIPSBURG, NJ 08865-2748
(908) 454-6711
(908) 454-6447
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019071
—
NJ
Enumeration date
10/20/2006
Last updated
08/22/2020
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