Provider Demographics
NPI:1619718699
Name:MC SURGICAL EXPERTISE LLC
Entity type:Organization
Organization Name:MC SURGICAL EXPERTISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIUS
Authorized Official - Middle Name:LIVIU
Authorized Official - Last Name:CALIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACS FASMBS
Authorized Official - Phone:917-853-2781
Mailing Address - Street 1:56 BROAD ST APT 411
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-2373
Mailing Address - Country:US
Mailing Address - Phone:917-853-2781
Mailing Address - Fax:917-261-3303
Practice Address - Street 1:56 BROAD ST APT 411
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-2373
Practice Address - Country:US
Practice Address - Phone:917-853-2781
Practice Address - Fax:917-261-3303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty