# MULBERRY AMBULATORY SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1639561293
- **Authorized official:** DR. DOMENICA M BARRITTA M.D. (OWNER/ DIRECTOR)
- **Authorized official phone:** (929) 400-2159

## Contact information

- **Practice address:** 393-397 MULBERRY STREET, NEWARK, NJ 07012-3417
- **Practice address phone:** (929) 400-2159
- **Mailing address:** PO BOX 9425, NEW YORK, NY 10087-9425
- **Mailing address phone:** (212) 874-3384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 25MA07669400 | NJ | Yes |

## Other

- **Enumeration date:** 02/19/2015
- **Last updated:** 05/06/2015