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1972037968
FORMA SURGICAL PC
HUNTINGTON, NY
NPI
1972037968
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Entity Type
Organization
Authorized Contact
MATHEW JAMES
Billing Manager
631-827-8159
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2017-04-17
Last Update Date
2017-04-17
Business Address
FORMA SURGICAL PC
224 WALL ST STE 201
HUNTINGTON, NY 11743-2186
Phone number: 631-827-8159
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Mailing Address
FORMA SURGICAL PC
224 WALL ST STE 201
HUNTINGTON, NY 11743-2186
Phone number: 631-827-8159
Copy
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