Organization
SURGERY FIRST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SHAW RNFA (AUTHORIZED REPRESENTATIVE)
(973) 951-2626
Entity
Organization
Contact information
Practice address
400 W BLACKWELL ST, DOVER, NJ 07801-2525
(973) 625-6000
Mailing address
3 ASTER ST, GLENWOOD, NJ 07418-1908
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NO11902800
NJ
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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