Organization · Type 2 NPI
Surgical Specialties of New Jersey, LLC
Vascular Surgery Physician · Mercerville, NJ
NPI number
1124304258
Active
Practice location
3100 Quakerbridge Rd Ste 2
Mercerville, NJ 08619-1658
Fax (609) 584-1563
Mailing address
PO Box 3204
Mercerville, NJ 08619-0204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 25MB06598500 (NJ) |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 25MB06598500 (NJ) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
About NPI 1124304258
Surgical Specialties of New Jersey, LLC's National Provider Identifier is 1124304258, issued on Nov 3, 2011. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Mercerville, NJ. The record was last updated on Oct 8, 2026.