Suburban Endoscopy Center, LLC
NPI #1659649549 in Verona, New Jersey
Provider Information
- NPI Number
- 1659649549
- Entity Type
- Organization
- Organization Name
- Suburban Endoscopy Center, LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Dec 6, 2011
- Last Updated
- Dec 6, 2011
Practice Location
- Address
- 799 BLOOMFIELD AVE
- Address 2
- SUITE 101
- City
- Verona
- State
- New Jersey
- ZIP Code
- 07044-1367
- Phone
- (973) 571-1600
Authorized Official
- Name
- JENETHA D MORAN
- Title
- AUTHORIZED OFFICIAL
- Phone
- (972) 763-3893
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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