Advantage Surgical and Wound Care New Jersey PC
Organization Active NPI Surgery Physician · Maywood, NJ
NPI 1689336505 · NPPES record last updated Oct 12, 2021
Key facts
- NPI
- 1689336505
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- ADVANTAGE SURGICAL AND WOUND CARE NEW JERSEY PC
- Practice address
- 113 W Essex St Ste 204
Maywood, NJ 07607-1023 - Phone
- (877) 878-3289
- Fax
- (877) 817-3227
- NPI assigned
- Oct 7, 2021
- Organization subpart
- No
Authorized official
- Name
- Robert J Marriott, MD
- Title
- President
- Phone
- (877) 878-3289
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
113 W Essex St Ste 204
Maywood, NJ 07607-1023
Mailing address
222 N Pacific Coast Hwy Ste 2175
El Segundo, CA 90245-5639
Phone (877) 878-3289
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2021. 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.