Advanced Surgical Associates of Central Jersey, LLC
Organization Active NPI Surgery Physician · Freehold, NJ
NPI 1649405309 · NPPES record last updated Sep 14, 2012
Key facts
- NPI
- 1649405309
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- 25MA07404200 (NJ)
- Legal business name
- ADVANCED SURGICAL ASSOCIATES OF CENTRAL JERSEY, LLC
- Practice address
- 901 W Main St
Freehold, NJ 07728-2537 - Phone
- (732) 303-3837
- Fax
- (732) 303-3847
- NPI assigned
- May 26, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Jarrod Kaufman, M.D.
- Title
- Managing Member
- Phone
- (732) 303-3837
Practitioners 1
-
Michael J Menack, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | 25MA07404200 | NJ | Yes |
Addresses
Primary practice location
901 W Main St
Freehold, NJ 07728-2537
Mailing address
901 W Main St
Freehold, NJ 07728-2537
Phone (732) 303-3837
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All providers in Freehold, NJ · Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.