NJSURGASSIST,LLC
Organization (NPI-2)
Active
Physician Assistant
Provider Information
- NPI Number
1891808168- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 12 PERERA AVE, WAYNE, NJ, 074704330
- Phone
- (973) 902-2307
- Fax
- (862) 221-9799
Specialties & Taxonomies
Physician Assistant
Primary License: NJ #25MP0025700