# GARDEN STATE SURGICAL INSTITUTE LLC

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

## Provider details

- **NPI number:** 1316800311
- **Authorized official:** CHARLES CONZENTINO (PRESIDENT)
- **Authorized official phone:** (732) 947-4200

## Contact information

- **Practice address:** 5 PROGRESS ST, EDISON, NJ 08820-1102
- **Practice address phone:** (732) 947-4200
- **Practice address fax:** (732) 947-4211
- **Mailing address:** 5 PROGRESS ST, EDISON, NJ 08820-1102
- **Mailing address phone:** (732) 947-4200
- **Mailing address fax:** (732) 947-4211

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2025
- **Last updated:** 12/05/2025
