Provider Demographics
NPI:1063682292
Name:SURGICAL PRACTICES ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:SURGICAL PRACTICES ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUNGLOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-548-1000
Mailing Address - Street 1:98 JAMES ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3902
Mailing Address - Country:US
Mailing Address - Phone:732-548-1000
Mailing Address - Fax:732-548-7590
Practice Address - Street 1:98 JAMES ST
Practice Address - Street 2:SUITE 202
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3902
Practice Address - Country:US
Practice Address - Phone:732-548-1000
Practice Address - Fax:732-548-7590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty