Organization
JACKSON SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA DANNA (OFFICER / AUTHORIZED OFFICIAL)
(972) 763-3890
Entity
Organization
Contact information
Practice address
27 S COOKS BRIDGE RD, SUITE L2, JACKSON, NJ 08527-2524
(972) 763-3893
(972) 692-6745
Mailing address
27 S COOKS BRIDGE RD STE L2, JACKSON, NJ 08527-2524
(732) 928-1099
(732) 833-1690
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
09/08/2021
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