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Organization
ASC OF NEW JERSEY LLC
Active
Organization
ASC OF NEW JERSEY LLC
Active
Other names
AMBULATORY SURGICAL CENTER OF NEW JERSEY
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA MORAN (AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
5 PROGRESS ST STE 2, EDISON, NJ 08820-1102
(908) 755-9671
Mailing address
15305 DALLAS PKWY STE 1600, ADDISON, TX 75001-6491
(972) 763-3893
(972) 692-6745
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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