Organization
AMBULATORY CARE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RITTER HERMANSON (ADMINISTRATOR)
(856) 507-0800
Entity
Organization
Contact information
Practice address
1133 EAST CHESTNUT AVE., VINELAND, NJ 08360
(856) 507-0800
(856) 507-0824
Mailing address
1133 EAST CHESTNUT AVE., VINELAND, NJ 08360
(856) 507-0800
(856) 507-0824
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
22422
NJ
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7594305
—
NJ
Enumeration date
04/24/2006
Last updated
06/22/2023
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