Provider Demographics
NPI:1972989499
Name:INSTITUTE FOR HAND AND ARM SURGERY LLC
Entity Type:Organization
Organization Name:INSTITUTE FOR HAND AND ARM SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GACCIONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-713-2420
Mailing Address - Street 1:620 ESSEX STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HARRISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07029-2231
Mailing Address - Country:US
Mailing Address - Phone:908-217-1413
Mailing Address - Fax:973-474-1031
Practice Address - Street 1:620 ESSEX STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:HARRISON
Practice Address - State:NJ
Practice Address - Zip Code:07029-2231
Practice Address - Country:US
Practice Address - Phone:908-217-1413
Practice Address - Fax:973-474-1031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-06
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty