# COUNTY LINE ENDOSCOPY & SURGICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** County Line ASC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437229135
- **Authorized official:** MARIA P LUGO (OFFICE MGR)
- **Authorized official phone:** (201) 295-0900

## Contact information

- **Practice address:** 9226 KENNEDY BLVD, UNIT A, NORTH BERGEN, NJ 07047
- **Practice address phone:** (201) 295-0900
- **Practice address fax:** (201) 869-9501
- **Mailing address:** 9226 KENNEDY BLVD, UNIT A, NORTH BERGEN, NJ 07047
- **Mailing address phone:** (201) 295-0900
- **Mailing address fax:** (201) 869-9501

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 05/13/2008