# GLOUCESTER COUNTY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1073759015
- **Authorized official:** DR. BRUCE MONAGHAN M.D. (CHAIRMAN)
- **Authorized official phone:** (856) 478-4222

## Contact information

- **Practice address:** 163 BRIDGETON PIKE, BUILDING B, MULLICA HILL, NJ 08062-2669
- **Practice address phone:** (856) 478-4222
- **Practice address fax:** (856) 478-4408
- **Mailing address:** 163 BRIDGETON PIKE, BUILDING B, MULLICA HILL, NJ 08062-2669
- **Mailing address phone:** (856) 478-4222
- **Mailing address fax:** (856) 478-4408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0400190493 | NJ | Yes |

## Other

- **Enumeration date:** 12/22/2008
- **Last updated:** 05/11/2009