Provider Demographics
NPI:1831338532
Name:PLATONI SURGICAL ASSISTANCE, LLC
Entity type:Organization
Organization Name:PLATONI SURGICAL ASSISTANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE FIRST ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:PLATONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-696-2165
Mailing Address - Street 1:82 JOSEPHS CT
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-3064
Mailing Address - Country:US
Mailing Address - Phone:856-696-2165
Mailing Address - Fax:
Practice Address - Street 1:82 JOSEPHS CT
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-3064
Practice Address - Country:US
Practice Address - Phone:856-696-2165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO05336900163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty