Organization
AMBULATORY SURGICAL CENTER OF BERGENFIELD LLC
Active
Other names
New Jersey Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DELLO RUSSO OD (MEDICAL DIRECTOR)
(201) 374-8900
Entity
Organization
Contact information
Practice address
1 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2125
(201) 374-8900
(201) 384-9915
Mailing address
1 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2125
(201) 374-8900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2021
Last updated
04/02/2021
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