# FIRST STATE SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1508846411
- **Authorized official:** MR. RAYMOND MICHAEL KRETT JR. BSN (ADMINISTRATOR)
- **Authorized official phone:** (302) 683-0700

## Contact information

- **Practice address:** 1000 TWIN C LANE, SUITE 200, NEWARK, DE 19713
- **Practice address phone:** (302) 683-0700
- **Practice address fax:** (302) 683-0717
- **Mailing address:** 1000 TWIN C. LANE, SUITE 200, NEWARK, DE 19713
- **Mailing address phone:** (302) 683-0700
- **Mailing address fax:** (302) 683-0717

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2006
- **Last updated:** 09/17/2020