# TRI-STATE SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1669612990
- **Authorized official:** DR. MICHAEL GARTNER D.O. (OWNER)
- **Authorized official phone:** (201) 546-1890

## Contact information

- **Practice address:** 3 WINSLOW PL, 1ST FLOOR, PARAMUS, NJ 07652-2709
- **Practice address phone:** (201) 546-1890
- **Practice address fax:** (201) 546-1893
- **Mailing address:** 3 WINSLOW PL, 1ST FLOOR, PARAMUS, NJ 07652-2709
- **Mailing address phone:** (201) 546-1890
- **Mailing address fax:** (201) 546-1893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 25MB06848500 | NJ | Yes |

## Other

- **Enumeration date:** 02/26/2009
- **Last updated:** 04/01/2009