Provider Demographics
NPI:1073865838
Name:HOLMDEL MULTI SPECIALTY SURGICAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:HOLMDEL MULTI SPECIALTY SURGICAL ASSOCIATES LLC
Other - Org Name:HMSSA LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BABU
Authorized Official - Middle Name:V
Authorized Official - Last Name:SURYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-837-2025
Mailing Address - Street 1:670 N BEERS ST BLDG 2 STE 2
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1527
Mailing Address - Country:US
Mailing Address - Phone:732-837-2025
Mailing Address - Fax:732-254-1558
Practice Address - Street 1:670 N BEERS ST BLDG 2 STE 2
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1527
Practice Address - Country:US
Practice Address - Phone:732-837-2025
Practice Address - Fax:732-254-1558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-03
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical