# WEST PARKWAY AMBULATORY SURGERY

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

## Provider details

- **NPI number:** 1366441024
- **Authorized official:** CHERYL EZERSKIS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (973) 831-5461

## Contact information

- **Practice address:** 97 W PARKWAY, POMPTON PLAINS, NJ 07444-1647
- **Practice address phone:** (973) 831-5461
- **Practice address fax:** (973) 831-5203
- **Mailing address:** PO BOX 515, POMPTON PLAINS, NJ 07444-0515
- **Mailing address phone:** (973) 831-5461
- **Mailing address fax:** (973) 831-5203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 23218 | NJ | Yes |

## Other

- **Enumeration date:** 07/15/2005
- **Last updated:** 09/09/2014
