Organization
PAIN & SURGERY AMBULATORY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE FOLUSIAK (ADMINISTRATOR)
(201) 689-6262
Entity
Organization
Contact information
Practice address
461 GOFFLE RD, WYCKOFF, NJ 07481-3003
(201) 689-6262
Mailing address
461 GOFFLE RD, WYCKOFF, NJ 07481-3003
(201) 689-6262
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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