NPI 1629538962

Surgical Specialist of New Jersey New York PC

Organisation Surgery Physician Englewood, NJ

Practice location

Address: 54 S Dean St, Englewood, NJ 07631-3514
Phone: (718) 626-0707
Fax: (718) 545-0333

Authorised official

Name: Mary M. Legg
Title: Credentialing Coordinator
Phone: (347) 584-8903

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in New Jersey →

Registry record

NPI: 1629538962
Entity type: Organization
NPI issued: 22 Mar 2019
Record last updated: 22 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.