Organization
SALEM ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JUDE COLGAN (OWNER/MANAGING PARTNER)
(856) 434-7573
Entity
Organization
Contact information
Practice address
336 SALEM WOODSTOWN RD, SALEM, NJ 08079-2027
(856) 434-7573
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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