is a Surgery in Mullica Hill, New Jersey. practices all healthcare services and medical treatments related to Surgery. The NPI Number for is 1588821425. The last update date is .
's current location address is 698 Mullica Hill Rd Ste 320, Mullica Hill, New Jersey. You can contact this provider via phone number 8565083708 and fax number 8562214103. The mailing address for is 698 Mullica Hill Rd Ste 320, Mullica Hill, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 698 Mullica Hill Rd Ste 320, Mullica Hill, New Jersey |
| Phone Number | 8565083708 |
| Fax Number | 8562214103 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1588821425 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 698 Mullica Hill Rd Ste 320 |
|---|---|
| City | Mullica Hill |
| State | New Jersey (NJ) |
| Post Code | 80624453 |
| Phone Number | 8565083708 |
| Fax Number | 8562214103 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | A119395 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1588821425 | CA | -- |
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