OPTIMAL CARE SURGICAL SERVICES
Organization (NPI-2)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1811341100- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 139 HARRISTOWN RD 205, GLEN ROCK, NJ, 074523312
- Phone
- (718) 431-5251
Specialties & Taxonomies
Physician Assistant, Surgical
Primary License: NJ #25MP00236800