# AMBULATORY SURGICAL PAVILION AT ROBERT WOOD JOHNSON LLC

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

## Provider details

- **NPI number:** 1619245230
- **Authorized official:** MRS. JOYCE THOMAS (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (630) 408-1460

## Contact information

- **Practice address:** 10 PLUM STREET, 4TH FLOOR, NEW BRUNSWICK, NJ 08901-2066
- **Practice address phone:** (630) 408-1460
- **Mailing address:** 10 PLUM STREET, 4TH FLOOR, NEW BRUNSWICK, NJ 08901-2066

## Taxonomy

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

## Other

- **Enumeration date:** 12/09/2011
- **Last updated:** 12/09/2011