# MALO CENTER FOR AMBULATORY SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** the malo clinic center for ambulatory surgery llc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760757165
- **Authorized official:** NICOLE PEREZ (BILLING MANAGER)
- **Authorized official phone:** (201) 372-1689

## Contact information

- **Practice address:** 201 ROUTE 17 NORTH, RUTHERFORD, NJ 07070-2574
- **Practice address phone:** (201) 549-8890
- **Mailing address:** 201 ROUTE 17 FL 12, RUTHERFORD, NJ 07070-2557
- **Mailing address phone:** (201) 372-1689
- **Mailing address fax:** (866) 203-0229

## Taxonomy

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

## Other

- **Enumeration date:** 03/19/2012
- **Last updated:** 01/29/2018