Organization
PENINSULA SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS I. KELLY (CONTRACTED MANAGER)
(201) 620-3636
Entity
Organization
Contact information
Practice address
29 E 29TH ST, BAYONNE, NJ 07002-4654
(973) 729-3276
Mailing address
29 E 29TH ST, BAYONNE, NJ 07002-4654
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2011
Last updated
04/26/2013
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