Organization
BROAD STREET SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH NESBIHAL (BUSINESS MANAGER)
(732) 383-4150
Entity
Organization
Contact information
Practice address
1429 BROAD ST, CLIFTON, NJ 07013-4221
(732) 383-4150
Mailing address
225 STATE ROUTE 35, SUITE 208, RED BANK, NJ 07701-5919
(732) 383-4159
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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