Colorectal Care Of New Jersey LLC
Colon & Rectal Surgery in Fort Lee, NJ. Organization (NPI-2).
NPI number1225724248
StatusActive
Last updated in NPPESApr 13, 2023
Details
- NPI
- 1225724248
- Entity type
- Organization (NPI-2)
- Legal business name
- Colorectal Care Of New Jersey LLC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2023
- Certification date
- Apr 13, 2023
- Last updated
- Apr 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | – | – | Yes |
Practice location
1625 Anderson Ave Ste 203Fort Lee, NJ 07024-2748
Phone 551-321-1388
Mailing address
1625 Anderson Ave Ste 203Fort Lee, NJ 07024-2748
Authorized official
Karmina Choi
Owner
5513211388
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