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Organization
MAIN AVENUE CLIFTON SURGERY CENTER, LLC
Active
Organization
MAIN AVENUE CLIFTON SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT POONIA MD (OWNER)
(973) 473-4040
Entity
Organization
Contact information
Practice address
26 THROCKMORTON LN, FLOOR 2, OLD BRIDGE, NJ 08857-2520
(732) 952-5533
Mailing address
1084 MAIN AVE, CLIFTON, NJ 07011-2330
(973) 473-4040
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NJ
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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