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Organization
WEST ORANGE SURGICAL CENTER, LLC
Active
Organization
WEST ORANGE SURGICAL CENTER, LLC
Active
Other names
Mountain Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JAMES TRICOLI (MANAGER)
(407) 947-3080
Entity
Organization
Contact information
Practice address
375 MOUNT PLEASANT AVE STE 210, WEST ORANGE, NJ 07052-2751
(973) 736-3390
Mailing address
652 PALM SPRINGS DR, ALTAMONTE SPRINGS, FL 32701-7838
(407) 332-9871
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
24393
NJ
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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