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Organization
MAIN AVENUE CLIFTON SURGERY CENTER, LLC
Active
Organization
MAIN AVENUE CLIFTON SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT POONIA M.D. (OWNER)
(732) 952-5533
Entity
Organization
Contact information
Practice address
1084 MAIN AVE, CLIFTON, NJ 07011-2330
(973) 473-4040
Mailing address
26 THROCKMORTON LN, SECOND FLOOR, OLD BRIDGE, NJ 08857-2520
(732) 952-5533
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QP3300X
Pain Clinic/Center
—
NULL
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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