# NORTHEASTERN SURGERY CENTER

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

## Provider details

- **NPI number:** 1366852956
- **Authorized official:** DR. JOSEPH P FODERO M.D. (DIRECTOR)
- **Authorized official phone:** (973) 295-6565

## Contact information

- **Practice address:** 220 RIDGEDALE AVE, C-1, FLORHAM PARK, NJ 07932-1361
- **Practice address phone:** (973) 925-6565
- **Practice address fax:** (973) 295-6567
- **Mailing address:** 220 RIDGEDALE AVE, C-1, FLORHAM PARK, NJ 07932-1361
- **Mailing address phone:** (973) 925-6565
- **Mailing address fax:** (973) 295-6567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 25MA06938000 | NJ | Yes |

## Other

- **Enumeration date:** 05/05/2014
- **Last updated:** 05/05/2014