Organization
MT LAUREL ENDOSCOPY CENTER L P
Active
Other names
Mount Laurel Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ALAN MODENA MD (MEDICAL DIRECTOR)
(856) 996-4001
Entity
Organization
Contact information
Practice address
15000 MIDLANTIC DR, SUITE 110, MOUNT LAUREL, NJ 08054-1573
(856) 996-4001
(856) 996-4002
Mailing address
15000 MIDLANTIC DR, SUITE 110, MOUNT LAUREL, NJ 08054-1573
(856) 996-4001
(856) 996-4002
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
04/17/2025
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