Provider Demographics
NPI:1861645210
Name:RAR SURGICAL ASSISTANT SERVICES
Entity Type:Organization
Organization Name:RAR SURGICAL ASSISTANT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:MS
Authorized Official - First Name:CORINNE
Authorized Official - Middle Name:E
Authorized Official - Last Name:REAMER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:908-850-0608
Mailing Address - Street 1:239 PLEASANT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:LONG VALLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07853-3637
Mailing Address - Country:US
Mailing Address - Phone:908-850-0608
Mailing Address - Fax:
Practice Address - Street 1:239 PLEASANT GROVE RD
Practice Address - Street 2:
Practice Address - City:LONG VALLEY
Practice Address - State:NJ
Practice Address - Zip Code:07853-3637
Practice Address - Country:US
Practice Address - Phone:908-850-0608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO04502300163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty