Provider Demographics
NPI:1952713067
Name:ALLIED SURGICAL ASSISTING
Entity Type:Organization
Organization Name:ALLIED SURGICAL ASSISTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:352-745-0282
Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:HOPATCONG
Mailing Address - State:NJ
Mailing Address - Zip Code:07843-0088
Mailing Address - Country:US
Mailing Address - Phone:352-745-0282
Mailing Address - Fax:
Practice Address - Street 1:301 ELMIRA TRL
Practice Address - Street 2:
Practice Address - City:HOPATCONG
Practice Address - State:NJ
Practice Address - Zip Code:07843-1110
Practice Address - Country:US
Practice Address - Phone:352-745-0282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR12121600251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care