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Organization
AMBULATORY SURGICAL CENTER OF POMPTON LAKES, LLC
Active
Organization
AMBULATORY SURGICAL CENTER OF POMPTON LAKES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE PALLIS (DIR OF CREDENTIALING)
(201) 874-9084
Entity
Organization
Contact information
Practice address
111 WANAQUE AVE, POMPTON LAKES, NJ 07442-2101
(973) 225-0732
(973) 968-6660
Mailing address
111 WANAQUE AVE, POMPTON LAKES, NJ 07442-2101
(973) 968-6660
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/01/2019
Last updated
08/10/2021
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