Provider Demographics
NPI:1538322177
Name:SURGICAL NURSING ASSIST LLC
Entity type:Organization
Organization Name:SURGICAL NURSING ASSIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARBORA
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:609-268-2553
Mailing Address - Street 1:18 GERMAIN RD
Mailing Address - Street 2:
Mailing Address - City:TABERNACLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08088-9354
Mailing Address - Country:US
Mailing Address - Phone:973-957-0548
Mailing Address - Fax:866-395-0888
Practice Address - Street 1:18 GERMAIN RD
Practice Address - Street 2:
Practice Address - City:TABERNACLE
Practice Address - State:NJ
Practice Address - Zip Code:08088-9354
Practice Address - Country:US
Practice Address - Phone:973-957-0548
Practice Address - Fax:866-395-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR04666900163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty