Specialty Surgical Center Llc | |
380 Lafayette Road Sparta NJ 07871-1777 | |
(973) 726-7220 | |
Not Available |
Full Name | Specialty Surgical Center Llc |
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Speciality | Clinic/Center |
Location | 380 Lafayette Road, Sparta, New Jersey |
Authorized Official Name and Position | Frank T Salvatore (MEDICAL DIRECTOR) |
Authorized Official Contact | 9737267220 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Specialty Surgical Center Llc 380 Lafayette Road Sparta NJ 07871-1777 Ph: (973) 726-7220 | Specialty Surgical Center Llc 380 Lafayette Road Sparta NJ 07871-1777 Ph: (973) 726-7220 |
NPI Number | 1932241148 |
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Provider Enumeration Date | 02/13/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0941384655 |
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Medicare Enrollment ID | O20080219000742 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932241148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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