Healthcare Provider Details

I. General information

NPI: 1447240296
Provider Name (Legal Business Name): JAMES STREET SURGICAL SUITE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 08/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 JAMES ST SUITE 3E
MORRISTOWN NJ
07960-6392
US

IV. Provider business mailing address

261 JAMES ST SUITE 3E
MORRISTOWN NJ
07960-6392
US

V. Phone/Fax

Practice location:
  • Phone: 973-267-6400
  • Fax: 973-267-2817
Mailing address:
  • Phone: 973-267-6400
  • Fax: 973-267-2817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateNJ

VIII. Authorized Official

Name: DR. CAREY DOLGIN
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 973-267-2817