Organization
SUFFOLK THORACIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW JAMES (BILLING MANAGER)
(631) 827-8159
Entity
Organization
Contact information
Practice address
21 VANTAGE CT, PORT JEFFERSON, NY 11777-2242
(631) 827-8159
(631) 368-1538
Mailing address
21 VANTAGE CT, PORT JEFFERSON, NY 11777-2242
(631) 827-8159
(631) 368-1538
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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