Provider Demographics
NPI:1962699835
Name:ADVANCED SURGICAL SOLUTIONS, LLC
Entity type:Organization
Organization Name:ADVANCED SURGICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VADIM
Authorized Official - Middle Name:
Authorized Official - Last Name:GRITSUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-696-9050
Mailing Address - Street 1:61 BEAVERBROOK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LINCOLN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07035-1748
Mailing Address - Country:US
Mailing Address - Phone:973-696-9050
Mailing Address - Fax:973-696-9055
Practice Address - Street 1:61 BEAVERBROOK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LINCOLN PARK
Practice Address - State:NJ
Practice Address - Zip Code:07035-1748
Practice Address - Country:US
Practice Address - Phone:973-696-9050
Practice Address - Fax:973-696-9055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07576600174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty