Organization
GARDEN STATE SURGICAL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CONZENTINO (PRESIDENT)
(732) 947-4200
Entity
Organization
Contact information
Practice address
5 PROGRESS ST, EDISON, NJ 08820-1102
(732) 947-4200
(732) 947-4211
Mailing address
5 PROGRESS ST, EDISON, NJ 08820-1102
(732) 947-4200
(732) 947-4211
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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