Organization
CENTRAL JERSEY SURGERY CENTER LLC
Active
Other names
Central Jersey Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA DANNA (OFFICER/AUTHORIZED OFFICIAL)
(972) 763-3890
Entity
Organization
Contact information
Practice address
97 CORBETT WAY, EATONTOWN, NJ 07724-2264
(732) 460-2777
(732) 460-2787
Mailing address
97 CORBETT WAY, EATONTOWN, NJ 07724-2264
(732) 460-2777
(732) 460-2787
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
22649
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311118
HORIZON BLUE CROSS
NJ
01
—
490004318
RAILROAD MEDICARE
NJ
05
—
8182701
—
NJ
Enumeration date
07/04/2006
Last updated
09/27/2021
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