# CORE SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1083131544
- **Authorized official:** JAGDIP DESAI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (908) 705-6857

## Contact information

- **Practice address:** 256 STUYVESANT AVENUE, LYNDHURST, NJ 07071
- **Practice address phone:** (201) 905-1113
- **Practice address fax:** (201) 255-0102
- **Mailing address:** 256 STUYVESANT AVENUE, LYNDHURST, NJ 07071
- **Mailing address phone:** (201) 905-4113
- **Mailing address fax:** (201) 255-0102

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2017
- **Last updated:** 08/25/2017