# JOURNAL SQUARE SURGICAL CENTER LLC

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

## Provider details

- **NPI number:** 1962644906
- **Authorized official:** GARY DI NARDO (PRESIDENT)
- **Authorized official phone:** (201) 795-0205

## Contact information

- **Practice address:** 550 NEWARK AVE, UNITS 501, 408 AND 103, JERSEY CITY, NJ 07306-1326
- **Practice address phone:** (201) 795-0205
- **Mailing address:** 550 NEWARK AVE, 5TH FLOOR, JERSEY CITY, NJ 07306-1326
- **Mailing address phone:** (201) 795-0205

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2009
- **Last updated:** 07/20/2011