Organization
SOUTH JERSEY ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER LEE M.D. (MEDICAL DIRECTOR)
(855) 420-8241
Entity
Organization
Contact information
Practice address
2950 COLLEGE DR, SUITE 2E, VINELAND, NJ 08360-6933
(855) 420-8241
Mailing address
2950 COLLEGE DR, SUITE 2E, VINELAND, NJ 08360-6933
(855) 420-8241
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
96562
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96562
ORG ID NUMBER
NJ
Enumeration date
10/20/2014
Last updated
02/26/2015
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