# WILD SURGICAL SERVICES LLC

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

## Provider details

- **NPI number:** 1972761138
- **Authorized official:** MARY K WILD RN CRNFA (OWNER)
- **Authorized official phone:** (609) 350-2211

## Contact information

- **Practice address:** 321 ENGLISH CREEK RD, PORT REPUBLIC, NJ 08241-9794
- **Practice address phone:** (609) 652-1276
- **Practice address fax:** (609) 652-7498
- **Mailing address:** 321 ENGLISH CREEK RD, PORT REPUBLIC, NJ 08241-9794
- **Mailing address phone:** (609) 652-1276
- **Mailing address fax:** (609) 652-7498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2008
- **Last updated:** 05/23/2008