Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
Chronic Disease Hospital |
281P00000X | |||
Oral and Maxillofacial Surgery |
261QS0112X |
| NPI # | 1760826713 |
| LBN Legal business name | PROASSIT |
| Authorized official | MAUSAMI SHRESTHA - (SURGICAL ASSISTANT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/22/2013 |
| Last updated | 04/22/2013 - About 13 years ago |
| Identifiers | n/a |
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