Provider Demographics
NPI:1376894667
Name:ASKLEPIOS SURGICAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:ASKLEPIOS SURGICAL ASSOCIATES LLC
Other - Org Name:ASA LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GIRIJA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SURYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-837-2137
Mailing Address - Street 1:646 ROUTE 18 BLDG A STE 103
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3722
Mailing Address - Country:US
Mailing Address - Phone:732-837-2137
Mailing Address - Fax:732-254-1558
Practice Address - Street 1:646 ROUTE 18 BLDG A STE 103
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3722
Practice Address - Country:US
Practice Address - Phone:732-837-2137
Practice Address - Fax:732-254-1558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical