Organization
MAIN AVENUE CLIFTON SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT POONIA M.D. (OWNER)
(732) 952-5533
Entity
Organization
Contact information
Practice address
1084 MAIN AVE, CLIFTON, NJ 07011-2330
(973) 473-4040
Mailing address
26 THROCKMORTON LN, SECOND FLOOR, OLD BRIDGE, NJ 08857-2520
(732) 952-5533
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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