# VANGUARD SURGICAL CENTER, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023350907
- **Authorized official:** DR. DANTE A IMPLICITO M.D. (MANAGING MEMBER)
- **Authorized official phone:** (201) 251-7725

## Contact information

- **Practice address:** 113 ESSEX ST, MAYWOOD, NJ 07607-1020
- **Practice address phone:** (201) 251-7725
- **Mailing address:** 113 ESSEX ST, MAYWOOD, NJ 07607-1020
- **Mailing address phone:** (201) 251-7725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/19/2013
- **Last updated:** 08/20/2013