Organization
SPECIALISTS IN EAR, NOSE AND THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA UNDERWOOD (OFFICE MANAGER/LPN)
(732) 635-1800
Entity
Organization
Contact information
Practice address
5 STATE ROUTE 27, SUITE 4, EDISON, NJ 08820-3964
(732) 635-1800
Mailing address
5 STATE ROUTE 27, SUITE 4, EDISON, NJ 08820-3964
(732) 635-1800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207Y00000X
NJ
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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