# BRIDGEWATER AMBULATORY SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1548791593
- **Authorized official:** MS. DEBORAH ELIZABETH CLEWELL BSN RN CNOR CASC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (908) 237-4146

## Contact information

- **Practice address:** 1121 US HIGHWAY 22, SUITE 301, BRIDGEWATER, NJ 08807-2982
- **Practice address phone:** (908) 237-4146
- **Mailing address:** 1121 US HIGHWAY 22, SUITE 301, BRIDGEWATER, NJ 08807-2982
- **Mailing address phone:** (908) 237-4146

## Taxonomy

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

## Other

- **Enumeration date:** 03/22/2017
- **Last updated:** 03/22/2017
