Provider Demographics
NPI:1982871653
Name:ADVANCED LAPAROSCOPIC SURGEONS OF MORRIS LLC
Entity type:Organization
Organization Name:ADVANCED LAPAROSCOPIC SURGEONS OF MORRIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERTHA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:973-410-9700
Mailing Address - Street 1:83 HANOVER RD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1508
Mailing Address - Country:US
Mailing Address - Phone:973-410-9700
Mailing Address - Fax:973-410-9703
Practice Address - Street 1:83 HANOVER RD
Practice Address - Street 2:SUITE 190
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1508
Practice Address - Country:US
Practice Address - Phone:973-410-9700
Practice Address - Fax:973-410-9703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty