Organization
AAA SURGERY CENTER, LLC
Active
Other names
MANCHESTER SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHARAM MANN M.D (MEDICAL DIRECTOR)
(732) 716-8116
Entity
Organization
Contact information
Practice address
1100 ROUTE 70 WEST, WHITING, NJ 08759-1003
(732) 716-8116
(732) 849-1511
Mailing address
PO BOX 447, WHITING, NJ 08759-0447
(732) 716-8116
(732) 849-1511
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
24462
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237448
PTAN
NJ
01
—
31C0001286
MEDICARE CCN
NJ
Enumeration date
05/17/2011
Last updated
08/06/2012
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