Organization Name: | HOLMDEL MULTI SPECIALTY SURGICAL ASSOCIATES LLC |
NPI Number: | 1073865838 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BABU V SURYA (DIRECTOR) |
Mailing Address: | 670 N Beers St Bldg 2 Ste 2 Holmdel |
State: | NJ US |
Postal Code: | 077331527 |
Phone Number: | 7328372025 |
Fax Number: | 7322541558 |
NPI Enumeration Date: | 10/03/2012 |
NPI Last Update Date: | 05/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |