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Organization
OAKHURST ENDOSCOPY ASC LLC
Active
Organization
OAKHURST ENDOSCOPY ASC LLC
Active
Other names
Ocean Surgical Pavilion, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHILLIP CLENDENIN (CHIEF MANAGER OF LLC)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1907 HIGHWAY 35, SUITE 9, OAKHURST, NJ 07755-2765
(732) 517-8885
(732) 517-0304
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(732) 517-8885
(732) 517-0304
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
NONE REQUIRED
NJ
Other
Enumeration date
02/07/2006
Last updated
09/07/2023
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