# THE MAXILLOFACIAL AND ORAL SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1942073168
- **Authorized official:** CARLY LUBAS RN, BSN, CNOR (DIRECTOR OF NURSING)
- **Authorized official phone:** (908) 783-3779

## Contact information

- **Practice address:** 276 BROAD ST STE 2, RED BANK, NJ 07701-2003
- **Practice address phone:** (732) 530-1110
- **Mailing address:** 276 BROAD ST STE 2, RED BANK, NJ 07701-2003
- **Mailing address phone:** (732) 530-1110

## Taxonomy

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

## Other

- **Enumeration date:** 10/31/2023
- **Last updated:** 10/31/2023