Provider Demographics
NPI:1891145058
Name:WGE SURGERY LLC
Entity Type:Organization
Organization Name:WGE SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:SUGARMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-927-8994
Mailing Address - Street 1:30 REHILL AVE
Mailing Address - Street 2:SUITE 3300
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2500
Mailing Address - Country:US
Mailing Address - Phone:908-927-8994
Mailing Address - Fax:
Practice Address - Street 1:30 REHILL AVE
Practice Address - Street 2:SUITE 3300
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2500
Practice Address - Country:US
Practice Address - Phone:908-927-8994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-20
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty