Organization
SURGICAL AND PROFESSIONAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH RAMAIAH PARAGI MS, MD (PRESIDENT)
(862) 252-7012
Entity
Organization
Contact information
Practice address
393 NORTHFIELD AVE, WEST ORANGE, NJ 07052-3001
(862) 252-7012
Mailing address
393 NORTHFIELD AVE, WEST ORANGE, NJ 07052-3001
(862) 252-7012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/08/2011
Last updated
11/06/2013
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