# MAIN AVENUE CLIFTON SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1720456130
- **Authorized official:** AMIT POONIA MD (OWNER)
- **Authorized official phone:** (973) 473-4040

## Contact information

- **Practice address:** 26 THROCKMORTON LN, FLOOR 2, OLD BRIDGE, NJ 08857-2520
- **Practice address phone:** (732) 952-5533
- **Mailing address:** 1084 MAIN AVE, CLIFTON, NJ 07011-2330
- **Mailing address phone:** (973) 473-4040

## Taxonomy

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

## Other

- **Enumeration date:** 09/02/2015
- **Last updated:** 09/02/2015