Provider Demographics
NPI:1184062721
Name:RN SURGI-ASSIST
Entity type:Organization
Organization Name:RN SURGI-ASSIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:HOBAN
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:609-317-3656
Mailing Address - Street 1:23 E GREENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:VILLAS
Mailing Address - State:NJ
Mailing Address - Zip Code:08251-1918
Mailing Address - Country:US
Mailing Address - Phone:609-317-3656
Mailing Address - Fax:
Practice Address - Street 1:23 E GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:VILLAS
Practice Address - State:NJ
Practice Address - Zip Code:08251-1918
Practice Address - Country:US
Practice Address - Phone:609-317-3656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty