Organization
SURGICENTER OF VINELAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN MAGNIFICO (VP ASC OPERATIONS)
(201) 216-1700
Entity
Organization
Contact information
Practice address
251 S LINCOLN AVE, VINELAND, NJ 08361-7802
(856) 691-8188
(856) 691-0421
Mailing address
251 S LINCOLN AVE, VINELAND, NJ 08361-7802
(856) 691-8188
(856) 691-0421
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00646845
RAILROAD MEDICARE
—
Enumeration date
01/30/2008
Last updated
02/05/2024
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