Organization
BARRY A COHEN LLC
Active
Other names
Quality Surgical Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CAREEN E WILSON (MANAGER)
(973) 894-1263
Entity
Organization
Contact information
Practice address
155 WILLOWBROOK BLVD STE 410, WAYNE, NJ 07470-7033
(973) 826-8080
(866) 309-3354
Mailing address
PO BOX 4059, WAYNE, NJ 07474-4059
(973) 826-8287
(855) 834-5435
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0400304778
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DU7642
RR MEDICARE
NJ
Enumeration date
12/13/2012
Last updated
06/30/2023
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