Organization
RENAISSANCE SURGERY CENTER, LLC
Active
Other names
International Center for Minimally Invasive Spine Surgery, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS G QUARTARARO MD (MANAGING PARTNER)
(201) 857-0720
Entity
Organization
Contact information
Practice address
461 GOFFLE RD, WYCKOFF, NJ 07481-3003
(201) 857-0720
(201) 857-0948
Mailing address
461 GOFFLE RD, WYCKOFF, NJ 07481-3003
(201) 857-0720
(201) 857-0948
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2012
Last updated
02/15/2017
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