| Broad Street Surgical Center, Llc | |
|
1429 Broad St Clifton NJ 07013-4221 | |
| (732) 383-4150 | |
| Not Available |
| Full Name | Broad Street Surgical Center, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1429 Broad St, Clifton, New Jersey |
| Authorized Official Name and Position | Kenneth Nesbihal (BUSINESS MANAGER) |
| Authorized Official Contact | 7323834150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broad Street Surgical Center, Llc 225 State Route 35 Suite 208 Red Bank NJ 07701-5919 Ph: (732) 383-4159 | Broad Street Surgical Center, Llc 1429 Broad St Clifton NJ 07013-4221 Ph: (732) 383-4150 |
| NPI Number | 1417972217 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417972217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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