Organization
NJSURGASSIST,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID L RASIZER PA (PHYSICIAN ASSISTANT/OWNER)
(973) 902-2307
Entity
Organization
Contact information
Practice address
12 PERERA AVE, WAYNE, NJ 07470-4330
(973) 902-2307
(862) 221-9799
Mailing address
PO BOX 3295, WAYNE, NJ 07474-3295
(973) 902-2307
(862) 221-9799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP0025700
NJ
Other
Enumeration date
08/17/2006
Last updated
06/27/2016
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