# TEANECK SURGICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1841444593
- **Authorized official:** DR. JEN LEE MD (PRESIDENT)
- **Authorized official phone:** (201) 928-2160

## Contact information

- **Practice address:** 730 PALISADE AVE FL 2, TEANECK, NJ 07666-3144
- **Practice address phone:** (201) 928-2160
- **Practice address fax:** (201) 287-8385
- **Mailing address:** 730 PALISADE AVE FL 2, TEANECK, NJ 07666-3144
- **Mailing address phone:** (201) 928-2160
- **Mailing address fax:** (201) 287-8385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 24302 | NJ | Yes |

## Other

- **Enumeration date:** 11/07/2008
- **Last updated:** 12/11/2009