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Organization

OPERATIVE ASSISTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KARAN L THOMAS RNFA (REGISTERED NURSE FIRST ASSISTANT)
(609) 953-8406
Entity
Organization

Contact information

Practice address
138 WAHWAHTAYSEE TRL, MEDFORD LAKES, NJ 08055-1917
(609) 953-8406
Mailing address
138 WAHWAHTAYSEE TRL, MEDFORD LAKES, NJ 08055-1917
(609) 953-8406

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR06783700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0400071891
BUSINESS
NJ
Enumeration date
12/08/2006
Last updated
08/22/2020
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