Healthcare Provider Details

I. General information

NPI: 1154311991
Provider Name (Legal Business Name): ALLIED SURGICAL GROUP, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 JAMES ST SUITE 2G
MORRISTOWN NJ
07960-6392
US

IV. Provider business mailing address

261 JAMES ST SUITE 2G
MORRISTOWN NJ
07960-6392
US

V. Phone/Fax

Practice location:
  • Phone: 973-267-6400
  • Fax: 973-267-7295
Mailing address:
  • Phone: 973-267-6400
  • Fax: 973-267-7295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: DR. WILLIAM L DIEHL
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 973-267-2817