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VANGUARD SURGICAL CENTER LLC. NPI 1023350907

NPI Profile

NPI: 1023350907

Provider Name: VANGUARD SURGICAL CENTER, LLC.

Classification: Clinic/Center - 261QA1903X

Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
113 ESSEX ST
MAYWOOD, NJ
ZIP 07607

Phone: (201) 251-7725

VANGUARD SURGICAL CENTER, LLC. is an ambulatory surgical clinic/center in Maywood, NJ. VANGUARD SURGICAL CENTER, LLC. NPI is 1023350907. The provider is registered as an organization entity type.

The provider's business location address is:

113 ESSEX ST
MAYWOOD, NJ
ZIP 07607-020
Phone: (201) 251-7725

The provider's authorized official is Dante A Implicito .
The authorized official title is Managing Member and has the following contact phone number (201) 251-7725.

The enumeration date for this NPI number is 3/19/2013 and was last updated on 8/20/2013.

Map - Location of Practice

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261QA1903X Clinic/Center Ambulatory Surgical Yes

What is NPI?
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 8/11/2015