Provider Demographics
NPI:1184152944
Name:ASP SURGICAL LLC
Entity type:Organization
Organization Name:ASP SURGICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:POZZESSERE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-327-0220
Mailing Address - Street 1:9 POST RD STE M5
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-1615
Mailing Address - Country:US
Mailing Address - Phone:201-327-0220
Mailing Address - Fax:201-327-4871
Practice Address - Street 1:9 POST RD STE M5
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-1615
Practice Address - Country:US
Practice Address - Phone:201-327-0220
Practice Address - Fax:201-327-4871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-24
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09908800208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty