# AMBULATORY SURGICAL CENTER OF NEW JERSEY,LLC

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

## Provider details

- **NPI number:** 1689627283
- **Authorized official:** DR. ALEXANDER PETER RUSSONIELLO MD (PRESIDENT-EXECUTIVE BOARD)
- **Authorized official phone:** (908) 668-4410

## Contact information

- **Practice address:** 5 PROGRESS ST, SUITE 2, EDISON, NJ 08820-1102
- **Practice address phone:** (908) 755-9671
- **Practice address fax:** (908) 755-9675
- **Mailing address:** 5 PROGRESS ST, SUITE 2, EDISON, NJ 08820-1102
- **Mailing address phone:** (908) 755-9671
- **Mailing address fax:** (908) 755-9675

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 09/03/2009