Organization
ATLANTIC SURGERY CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA M JUETTNER (CREDENTIALING/BILLING)
(732) 222-7373
Entity
Organization
Contact information
Practice address
300 HIGHWAY 35, EATONTOWN, NJ 07724-2216
(732) 222-7373
(732) 483-8214
Mailing address
300 HIGHWAY 35, EATONTOWN, NJ 07724-2216
(732) 222-7373
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490005609
RAILROAD MEDICARE
NJ
Enumeration date
05/24/2006
Last updated
02/16/2023
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