Organization · NPI-2

Mjm Surgical

Surgery · Fort Lee, NJ

NPI number1265924245
StatusActive
Last updated in NPPESJun 5, 2018

Details

NPI
1265924245
Entity type
Organization (NPI-2)
Legal business name
Mjm Surgical
Organization subpart
No
Enumeration date
Jun 5, 2018
Last updated
Jun 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery––Yes

Practice location

1608 Lemoine Ave Ste 101
Fort Lee, NJ 07024-5636

Phone 201-585-9921

Mailing address

1608 Lemoine Ave Ste 101
Fort Lee, NJ 07024-5636

Authorized official

Joseph Iraci
Medical Director
2015859921

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