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NPI Profile for SURGICAL SPECIALTIES OF NEW JERSEY LLC in MERCERVILLE, NJ.
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease | |
Thoracic Surgery (Cardiothoracic Vascular Surgery) |
208G00000X | 02 | Physician/General Surgery |
| NPI Number | 1124304258 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/03/2011 | |
| Last updated | 11/03/2011 - About 15 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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SURGICAL SPECIALTIES OF NEW JERSEY, LLC