Healthcare Provider Details

I. General information

NPI: 1811038045
Provider Name (Legal Business Name): CENTRAL JERSEY SURGEONS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 03/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 COURTYARD DRIVE, BLDG #600
HILLSBOROUGH NJ
08844-4256
US

IV. Provider business mailing address

611 COURTYARD DRIVE, BLDG #600
HILLSBOROUGH NJ
08844-4256
US

V. Phone/Fax

Practice location:
  • Phone: 908-722-0030
  • Fax: 908-722-8676
Mailing address:
  • Phone: 908-722-0030
  • Fax: 908-722-8676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. MARISOL BIAGGI
Title or Position: OFFICE COORDINATOR
Credential:
Phone: 908-722-0030