# PLEASANTDALE AMBULATORY CARE, LLC

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

## Provider details

- **NPI number:** 1578805982
- **Authorized official:** MR. NICK RENTAS (ADMINISTRATOR)
- **Authorized official phone:** (973) 324-2280

## Contact information

- **Practice address:** 61 MAIN ST, WEST ORANGE, NJ 07052-5352
- **Practice address phone:** (973) 324-2280
- **Mailing address:** 61 MAIN ST STE D, WEST ORANGE, NJ 07052-5353
- **Mailing address phone:** (973) 324-2280

## Taxonomy

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

## Other

- **Enumeration date:** 03/24/2013
- **Last updated:** 12/20/2019