Provider Demographics
NPI:1245335355
Name:TOTOWA PHYSICIANS & SURGEONS, LLC
Entity type:Organization
Organization Name:TOTOWA PHYSICIANS & SURGEONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMO-BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-595-8400
Mailing Address - Street 1:426 UNION BLVD
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-2562
Mailing Address - Country:US
Mailing Address - Phone:973-595-8400
Mailing Address - Fax:973-595-8501
Practice Address - Street 1:426 UNION BLVD
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2562
Practice Address - Country:US
Practice Address - Phone:973-595-8400
Practice Address - Fax:973-595-8501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA6967300207R00000X
NJMA27481207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty