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Organization

AMBULATORY SURGICAL CENTER OF POMPTON LAKES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE PALLIS (DIR OF CREDENTIALING)
(201) 874-9084
Entity
Organization

Contact information

Practice address
111 WANAQUE AVE, POMPTON LAKES, NJ 07442-2101
(973) 225-0732
(973) 968-6660
Mailing address
111 WANAQUE AVE, POMPTON LAKES, NJ 07442-2101
(973) 968-6660

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
05/01/2019
Last updated
08/10/2021
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