Healthcare Provider Details

I. General information

NPI: 1366572596
Provider Name (Legal Business Name): ORRO SURGICAL SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 E LAKE BLVD
MORRISTOWN NJ
07960-5041
US

IV. Provider business mailing address

36 E LAKE BLVD
MORRISTOWN NJ
07960-5041
US

V. Phone/Fax

Practice location:
  • Phone: 973-267-6541
  • Fax:
Mailing address:
  • Phone: 973-267-6541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number26NO03784700
License Number StateNJ

VIII. Authorized Official

Name: ROSE ANN RIKER
Title or Position: PREIDENT
Credential:
Phone: 973-267-6541