# SURGIPLEX LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parker Center for Plastic Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417044744
- **Authorized official:** DR. PAUL M. PARKER MD (OWNER)
- **Authorized official phone:** (201) 967-1212

## Contact information

- **Practice address:** 122 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4038
- **Practice address phone:** (201) 967-1212
- **Practice address fax:** (201) 262-6270
- **Mailing address:** 122 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4038
- **Mailing address phone:** (972) 758-3598
- **Mailing address fax:** (972) 599-9604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 2715 | NJ | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 09/02/2009
