# SURGICAL CENTER AT CEDAR KNOLLS LLC

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

## Provider details

- **NPI number:** 1528104080
- **Authorized official:** MS. KATHRYN ANDERSON RN, BSN, MHA (ADMINISTRATOR)
- **Authorized official phone:** (973) 292-0700

## Contact information

- **Practice address:** 197 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927-2101
- **Practice address phone:** (973) 292-0700
- **Practice address fax:** (973) 292-0773
- **Mailing address:** 197 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927-2101
- **Mailing address phone:** (973) 292-0700
- **Mailing address fax:** (973) 292-0773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 23363 | NJ | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/22/2020
