Iconic Wellness Surgical Services
Iconic Wellness Surgical Services is a Surgical Physician Assistant in Glen Rock, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.
- Licensed in
- NJ
- In the registry since
- 2016
Practice location Address checks out
139 Harristown Rd Ste 205Glen Rock, NJ 07452-3312
Phone: (201) 444-1645
Fax: (201) 444-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 25MP00262900 (NJ) |
|---|
Record details
| NPI number | 1316303035 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sadyk Fayzulayev — Managing Member · (201) 444-1645 |
| NPI enumerated | January 11, 2016 |
| Last updated in NPPES | January 11, 2016 |
| Mailing address | 139 Harristown Rd, Ste 205, Glen Rock, NJ 07452-3312 |
Other providers in Glen Rock
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Tyler Anthony Manlangit, PA-C
85 Harristown Rd, Glen Rock, NJ 07452-3329 · (844) 366-8800
-
Optimal Care Surgical Services
139 Harristown Rd 205, Glen Rock, NJ 07452-3312 · (718) 431-5251