Organization
NORTH FULLERTON SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEIDI FACCHINI RN (ADMINISTRATOR)
(973) 233-0433
Entity
Organization
Contact information
Practice address
37 N FULLERTON AVE, MONTCLAIR, NJ 07042-3426
(973) 233-0433
(973) 233-0144
Mailing address
37 N FULLERTON AVE, MONTCLAIR, NJ 07042-3426
(973) 233-0433
(973) 233-0144
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2006
Last updated
12/28/2007
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