# ENGLEWOOD SURGICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1437282464
- **Authorized official:** DR. KEITH GRESHAM M.D. (M.D.)
- **Authorized official phone:** (201) 567-0522

## Contact information

- **Practice address:** 40 ENGLE ST, ENGLEWOOD, NJ 07631-2905
- **Practice address phone:** (201) 567-0522
- **Practice address fax:** (201) 567-5955
- **Mailing address:** 40 ENGLE ST, ENGLEWOOD, NJ 07631-2905
- **Mailing address phone:** (201) 567-0522
- **Mailing address fax:** (201) 567-5955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 08/22/2020