Provider Demographics
NPI:1063713675
Name:SURGICAL ASSISTANCE SOLUTIONS SUPPORT YOU, LLC
Entity type:Organization
Organization Name:SURGICAL ASSISTANCE SOLUTIONS SUPPORT YOU, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:L
Authorized Official - Last Name:MACGREGOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN, RNFA
Authorized Official - Phone:215-906-5060
Mailing Address - Street 1:31 PATRIOT WAY
Mailing Address - Street 2:
Mailing Address - City:HAINESPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:08036-2635
Mailing Address - Country:US
Mailing Address - Phone:215-906-5060
Mailing Address - Fax:609-914-0075
Practice Address - Street 1:31 PATRIOT WAY
Practice Address - Street 2:
Practice Address - City:HAINESPORT
Practice Address - State:NJ
Practice Address - Zip Code:08036-2635
Practice Address - Country:US
Practice Address - Phone:215-906-5060
Practice Address - Fax:609-914-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN296832L163WR0006X
NJ26NR08980400163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty