# AMBULATORY SURGICAL PAVILION OF NEW JERSEY

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

## Provider details

- **NPI number:** 1639597008
- **Authorized official:** SAM RAHAT (DIRECTOR)
- **Authorized official phone:** (347) 683-3008

## Contact information

- **Practice address:** 600 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-2014
- **Practice address phone:** (347) 683-3008
- **Mailing address:** 600 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-2014
- **Mailing address phone:** (973) 970-8655

## Taxonomy

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

## Other

- **Enumeration date:** 04/02/2014
- **Last updated:** 08/10/2021