Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 25MA08734000 | NJ |
N | 208600000X | Surgeon | 25MA08734000 | NJ |
N | 208200000X | Surgeon | 265311 | NY |
N | 208600000X | Surgeon | 265311 | NY |
N | 2086S0105X | Surgery of the Hand | 256311 | NY |
Y | 2086S0105X | Surgery of the Hand | 25MA08734000 | NJ |
NPI | 1649414541 |
---|---|
Provider Name | Dr. Steven Ugras |
First Address | Paramus, NJ 07652 |
Second Address | Paramus, NJ 07652 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2009 |
Last Update Date | 31/07/2013 |