Organization
CORE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAGDIP DESAI MD (MEDICAL DIRECTOR)
(908) 705-6857
Entity
Organization
Contact information
Practice address
256 STUYVESANT AVENUE, LYNDHURST, NJ 07071
(201) 905-1113
(201) 255-0102
Mailing address
256 STUYVESANT AVENUE, LYNDHURST, NJ 07071
(201) 905-4113
(201) 255-0102
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119288
—
NJ
Enumeration date
08/25/2017
Last updated
08/25/2017
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