# SPECIALTY SURGERY OF MIDDLETOWN, LLC

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

## Provider details

- **NPI number:** 1770737413
- **Authorized official:** AJAY MEDAVARAM VARMA (MANAGING MEMBER)
- **Authorized official phone:** (732) 671-5555

## Contact information

- **Practice address:** 1270 ROUTE 35, SUITE 3, MIDDLETOWN, NJ 07748-2014
- **Practice address phone:** (732) 671-5555
- **Practice address fax:** (732) 671-5502
- **Mailing address:** 1270 ROUTE 35, SUITE 3, MIDDLETOWN, NJ 07748-2014
- **Mailing address phone:** (732) 671-5555
- **Mailing address fax:** (732) 671-5502

## Taxonomy

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

## Other

- **Enumeration date:** 11/07/2008
- **Last updated:** 11/21/2019