# ATLANTIC NORTH SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1356767289
- **Authorized official:** SAM RAHAT (DIRECTOR)
- **Authorized official phone:** (347) 683-3008

## Contact information

- **Practice address:** 111 WANAQUE AVE, POMPTON LAKES, NJ 07442-2101
- **Practice address phone:** (973) 970-8655
- **Mailing address:** 111 WANAQUE AVE, POMPTON LAKES, NJ 07442-2101
- **Mailing address phone:** (973) 970-8655

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2014
- **Last updated:** 03/21/2014