| Elite Surgical Center Llc | |
|
307 Hamburg Turnpike Wayne NJ 07470 | |
| (973) 790-7700 | |
| Not Available |
| Full Name | Elite Surgical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 307 Hamburg Turnpike, Wayne, New Jersey |
| Authorized Official Name and Position | Dennis William Simmons (COO) |
| Authorized Official Contact | 9737091900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Surgical Center Llc 307 Hamburg Turnpike Wayne NJ 07470 Ph: (973) 790-7700 | Elite Surgical Center Llc 307 Hamburg Turnpike Wayne NJ 07470 Ph: (973) 790-7700 |
| NPI Number | 1265546691 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 10/09/2012 |
| Medicare PECOS PAC ID | 7618127135 |
|---|---|
| Medicare Enrollment ID | O20121018000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265546691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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