National Provider Identifier Database

SURGICAL SPECIALTIES OF NEW JERSEY LLC
Vascular Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.


Contact Information

SURGICAL SPECIALTIES OF NEW JERSEY, LLC
1445 WHITEHORSE MERCERVILLE RD
SUITE 111
MERCERVILLE, NJ08619-3834
Phone: 609-584-1560
Fax:
Website:
Specialty Taxonomy Code
* Vascular Surgery 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

* Indicates primary specialty

NPI Profile & details for SURGICAL SPECIALTIES OF NEW JERSEY, LLC

NPI Number 1124304258
Legal business name
LBN
SURGICAL SPECIALTIES OF NEW JERSEY, LLC
Authorized official BIAGIO MANNA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/03/2011
Last updated 11/03/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MB06598500

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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