# ALC SURGICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1043441819
- **Authorized official:** MS. ANNA LIZA N CRISTOBAL RNFA (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (973) 957-0551

## Contact information

- **Practice address:** 20 HENRIETTA DRIVE, FAIRFIELD, NJ 07004
- **Practice address phone:** (973) 957-0551
- **Practice address fax:** (866) 329-0698
- **Mailing address:** 30 W CENTURY RD, SUITE 225, PARAMUS, NJ 07652-1433
- **Mailing address phone:** (201) 986-1003
- **Mailing address fax:** (201) 986-1680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | 26NO11414700 | NJ | Yes |

## Other

- **Enumeration date:** 07/28/2009
- **Last updated:** 07/19/2019