Organization
ATLANTIC NORTH SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM RAHAT (DIRECTOR)
(347) 683-3008
Entity
Organization
Contact information
Practice address
111 WANAQUE AVE, POMPTON LAKES, NJ 07442-2101
(973) 970-8655
Mailing address
111 WANAQUE AVE, POMPTON LAKES, NJ 07442-2101
(973) 970-8655
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/21/2014
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