Organization
PLEASANTDALE AMBULATORY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK RENTAS (ADMINISTRATOR)
(973) 324-2280
Entity
Organization
Contact information
Practice address
61 MAIN ST, WEST ORANGE, NJ 07052-5352
(973) 324-2280
Mailing address
61 MAIN ST STE D, WEST ORANGE, NJ 07052-5353
(973) 324-2280
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2013
Last updated
12/20/2019
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