Organization
IRONBOUND ENDO SURGICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENICA M BARRITTA MD (OWNER/MD)
(973) 344-4787
Entity
Organization
Contact information
Practice address
24-28 MERCHANT STREET, NEWARK, NJ 07105-2847
(973) 344-4787
(973) 344-5881
Mailing address
24-28 MERCHANT STREET, NEWARK, NJ 07105-2847
(973) 344-4787
(973) 344-5881
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8482501
—
NJ
Enumeration date
04/27/2007
Last updated
12/08/2022
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