Organization Name: | STERLING SURGICAL SERVICES, LLC |
NPI Number: | 1982739793 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURIE J. DIDYK (PRESIDENT) |
Mailing Address: | 5 Clayhole Rd Little Egg Harbor Twp |
State: | NJ US |
Postal Code: | 080872109 |
Phone Number: | 6092965784 |
Fax Number: | 6092965784 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 04/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00054900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |