First Assist Surgical Services
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Paramus, NJ. Organization (NPI-2).
NPI number1689003196
StatusActive
Last updated in NPPESJun 3, 2016
Details
- NPI
- 1689003196
- Entity type
- Organization (NPI-2)
- Legal business name
- First Assist Surgical Services
- Organization subpart
- No
- Enumeration date
- Nov 5, 2013
- Last updated
- Jun 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XS0117X | Orthopaedic Surgery, Orthopaedic Surgery of the Spine | MA067801 | NJ | Yes |
| 363AS0400X | Physician Assistant, Surgical | 25MP00294500 | NJ |
Practice location
205 Homestead RdParamus, NJ 07652-4709
Phone 516-587-3406
Mailing address
205 Homestead RdParamus, NJ 07652-4709
Phone 516-587-3406
Authorized official
Tony Jacob
President
5165873406
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