Organization
OAKHURST ENDOSCOPY ASC LLC
Active
Other names
Ocean Surgical Pavilion, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHILLIP CLENDENIN (CHIEF MANAGER OF LLC)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1907 HIGHWAY 35, SUITE 9, OAKHURST, NJ 07755-2765
(732) 517-8885
(732) 517-0304
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(732) 517-8885
(732) 517-0304
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
NONE REQUIRED
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3385809
—
NJ
Enumeration date
02/07/2006
Last updated
09/07/2023
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