AMBULATORY SURGICAL CENTER OF NEW JERSEYLLC NPI 1689627283

NPI Information

AMBULATORY SURGICAL CENTER OF NEW JERSEY,LLC is an ambulatory surgical clinic center in Edison, NJ. AMBULATORY SURGICAL CENTER OF NEW JERSEY,LLC NPI is 1689627283. The provider is registered as an organization entity type.

The provider's business location address is:

5 PROGRESS ST
SUITE 2
EDISON, NJ
ZIP 08820-102
Phone: (908) 755-9671
Fax: (908) 755-9675

The provider's authorized official is Alexander Peter Russoniello .
The authorized official title is President-executive Board and has the following contact phone number (908) 668-4410.

The CLIA number assigned to this NPI record is 31D1036570 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 9/3/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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