# AMBULATORY SURGICAL CENTER OF BERGENFIELD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Jersey Eye Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548848120
- **Authorized official:** DR. JAMES DELLO RUSSO OD (MEDICAL DIRECTOR)
- **Authorized official phone:** (201) 374-8900

## Contact information

- **Practice address:** 1 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2125
- **Practice address phone:** (201) 374-8900
- **Practice address fax:** (201) 384-9915
- **Mailing address:** 1 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2125
- **Mailing address phone:** (201) 374-8900

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2021
- **Last updated:** 04/02/2021