Organization
380 SURGICAL SERVICES, LLC
Active
Other names
Secaucus Surgical Assistants
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN HAMMERMAN (GENERAL COUNSEL)
(301) 652-4800
Entity
Organization
Contact information
Practice address
210 MEADOWLANDS PKWY STE 5, SECAUCUS, NJ 07094-2306
(301) 603-2622
Mailing address
3206 TOWER OAKS BLVD STE 220, ROCKVILLE, MD 20852-4254
(301) 603-2622
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396095204
PROVIDER NPI
NJ
Enumeration date
08/08/2019
Last updated
03/24/2025
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