# SOUTH JERSEY ASC, LLC

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

## Provider details

- **NPI number:** 1306240460
- **Authorized official:** DR. CHRISTOPHER LEE M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (855) 420-8241

## Contact information

- **Practice address:** 2950 COLLEGE DR, SUITE 2E, VINELAND, NJ 08360-6933
- **Practice address phone:** (855) 420-8241
- **Mailing address:** 2950 COLLEGE DR, SUITE 2E, VINELAND, NJ 08360-6933
- **Mailing address phone:** (855) 420-8241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 96562 | NJ | Yes |

## Other

- **Enumeration date:** 10/20/2014
- **Last updated:** 02/26/2015