PASCACK VALLEY SURGICAL ASSOCIATION PA NPI 1215085949

NPI Information

PASCACK VALLEY SURGICAL ASSOCIATION PA is a specialist in Englewood, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PASCACK VALLEY SURGICAL ASSOCIATION PA NPI is 1215085949. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

140 GRAND AVE
ENGLEWOOD, NJ
ZIP 07631-581
Phone: (201) 227-7411
Fax: (201) 227-7433

The provider's authorized official is John L Holup .
The authorized official title is Surgeon and has the following contact phone number (201) 227-7411.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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