# WEST ORANGE SURGICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609390459
- **Authorized official:** MR. WILLIAM JAMES TRICOLI (MANAGER)
- **Authorized official phone:** (407) 947-3080

## Contact information

- **Practice address:** 375 MOUNT PLEASANT AVE STE 210, WEST ORANGE, NJ 07052-2751
- **Practice address phone:** (973) 736-3390
- **Mailing address:** 652 PALM SPRINGS DR, ALTAMONTE SPRINGS, FL 32701-7838
- **Mailing address phone:** (407) 332-9871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 24393 | NJ | Yes |

## Other

- **Enumeration date:** 08/02/2017
- **Last updated:** 08/02/2017