| Njsr Surgical Center, Llc | |
|
111 Wanaque Ave Pompton Lakes NJ 07442-2101 | |
| (973) 248-8818 | |
| (973) 248-8844 |
| Full Name | Njsr Surgical Center, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 111 Wanaque Ave, Pompton Lakes, New Jersey |
| Authorized Official Name and Position | Christopher Collins (ADMINISTRATOR / DON) |
| Authorized Official Contact | 2012488818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Njsr Surgical Center, Llc 111 Wanaque Ave Pompton Lakes NJ 07442-2101 Ph: (973) 248-8818 | Njsr Surgical Center, Llc 111 Wanaque Ave Pompton Lakes NJ 07442-2101 Ph: (973) 248-8818 |
| NPI Number | 1457580854 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 05/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457580854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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