General Surgery Practice, Llc in Englewood - Specialist

General Surgery Practice, Llc - NPI 1316071178

General Surgery Practice, Llc is a Specialist in Englewood, New Jersey. General Surgery Practice, Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for General Surgery Practice, Llc is 1316071178. The last update date is 2013-10-07.

General Surgery Practice, Llc's current location address is 140 Grand Ave, Englewood, New Jersey. You can contact this provider via phone number 2015417940 and fax number 2015417942. The mailing address for General Surgery Practice, Llc is 140 Grand Ave, Englewood, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization General Surgery Practice, Llc
Address 140 Grand Ave, Englewood, New Jersey
Phone Number 2015417940
Fax Number 2015417942
Sole Proprietor --
Credentials --

Authorized Official

Title or Position GENERAL SU
Authorized Official Name Shikiar Paul Steven
Credentials MD
Telephone Number 2015417940

NPI Number Detail

NPI Number 1316071178
Provider Enumeration Date 2007-03-15
Last Updated Date 2013-10-07

Provider Mailing Address Detail

Address 140 Grand Ave
City Englewood
State New Jersey (NJ)
Post Code 76316581
Phone Number 2015417940
Fax Number 2015417942

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA59823
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5594006 NJ --

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FAQs about General Surgery Practice, Llc

What is the unique identifier code issued to General Surgery Practice, Llc by the Centers for Medicare & Medicaid Services?

The General Surgery Practice, Llc has been assigned the NPI (National Provider Identifier) 1316071178. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the General Surgery Practice, Llc located?

The General Surgery Practice, Llc is located at 140 Grand Ave, Englewood, NJ 76316581.

What is General Surgery Practice, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The General Surgery Practice, Llc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1316071178 to General Surgery Practice, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1316071178 to General Surgery Practice, Llc on 2007-03-15.

When was the information regarding General Surgery Practice, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to General Surgery Practice, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-10-07.

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