University Surgical Associates (om)

NPI #1649826686 in Newark, New Jersey

Provider Information

NPI Number: 1649826686
Entity Type: Organization
Organization Name: University Surgical Associates (om)
Subpart: Yes (part of a larger organization)
Parent Organization: UPA-OM LLC
Primary Specialty: Plastic Surgery
Enumeration Date: Aug 15, 2019
Last Updated: Aug 15, 2019

Practice Location

Address: 90 BERGEN ST STE 7100
City: Newark
State: New Jersey
ZIP Code: 07103-2425
Phone: (973) 972-2400

Authorized Official

Name: DAVID HAIER
Title: CEO/EXECUTIVE DIRECTOR
Phone: (973) 972-5004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Plastic Surgery	208200000X	Primary

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