Organization
WILD SURGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY K WILD RN CRNFA (OWNER)
(609) 350-2211
Entity
Organization
Contact information
Practice address
321 ENGLISH CREEK RD, PORT REPUBLIC, NJ 08241-9794
(609) 652-1276
(609) 652-7498
Mailing address
321 ENGLISH CREEK RD, PORT REPUBLIC, NJ 08241-9794
(609) 652-1276
(609) 652-7498
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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