Provider Demographics
NPI:1760183446
Name:SOMERSET SURGICAL ASSOCIATES,LLC
Entity Type:Organization
Organization Name:SOMERSET SURGICAL ASSOCIATES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:REMPFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-927-8933
Mailing Address - Street 1:30 REHILL AVE STE 3400
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2548
Mailing Address - Country:US
Mailing Address - Phone:908-927-8987
Mailing Address - Fax:
Practice Address - Street 1:605 OMNI DRIVE SUITE A B
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844
Practice Address - Country:US
Practice Address - Phone:908-725-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty