Organization
NORTHEASTERN SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH P FODERO M.D. (DIRECTOR)
(973) 295-6565
Entity
Organization
Contact information
Practice address
220 RIDGEDALE AVE, C-1, FLORHAM PARK, NJ 07932-1361
(973) 925-6565
(973) 295-6567
Mailing address
220 RIDGEDALE AVE, C-1, FLORHAM PARK, NJ 07932-1361
(973) 925-6565
(973) 295-6567
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
25MA06938000
NJ
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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