# MAHWAH ASC LLC

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

## Provider details

- **NPI number:** 1104688225
- **Authorized official:** DENEE MARIE WOLF (VICE PRESIDENT)
- **Authorized official phone:** (212) 774-2021

## Contact information

- **Practice address:** 400 FRANKLIN TPKE STE 200, MAHWAH, NJ 07430-3518
- **Practice address phone:** (646) 714-6353
- **Mailing address:** 535 E 70TH ST, NEW YORK, NY 10021-4823
- **Mailing address phone:** (646) 714-6353

## Taxonomy

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

## Other

- **Enumeration date:** 01/24/2024
- **Last updated:** 08/13/2025