Provider Demographics
NPI:1215259528
Name:SURGICAL ASSOCIATES MIDDLESEX COUNTY
Entity type:Organization
Organization Name:SURGICAL ASSOCIATES MIDDLESEX COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GHAZALI
Authorized Official - Middle Name:ANWAR
Authorized Official - Last Name:CHAUDRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-747-0707
Mailing Address - Street 1:2 LINCOLN AVE STE 402
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837
Mailing Address - Country:US
Mailing Address - Phone:732-744-0707
Mailing Address - Fax:732-744-1717
Practice Address - Street 1:2 LINCOLN AVE STE 402
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837
Practice Address - Country:US
Practice Address - Phone:732-744-0707
Practice Address - Fax:732-744-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-28
Last Update Date:2010-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH99749Medicare UPIN