Organization
HACKENSACK SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD TODD BRAVER DPM (PRESIDENT)
(201) 966-1921
Entity
Organization
Contact information
Practice address
19 KOTTE PL., HACKENSACK, NJ 07601
(201) 996-1921
(201) 996-9400
Mailing address
19 KOTTE PL, HACKENSACK, NJ 07601
(201) 996-1921
(201) 996-9400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
04/27/2009
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