NPI | 1730548959 |
---|---|
Doing Business As | PHYSICIAN ASSISTANT SURGICAL SERVICES |
Entity Type | Organization |
Authorized Contact | DANA WIGHTMAN Owner/Physician Assistant 908-399-4987 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9108751) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2016-02-16 |