Organization
CENTER FOR MODERN SURGERY LLC
Active
Other names
Visionary ASC NJ
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN CHARLES HAMMERMAN (GENERAL COUNSEL)
(240) 558-3706
Entity
Organization
Contact information
Practice address
210 MEADOWLANDS PKWY STE 5, SECAUCUS, NJ 07094-2306
(240) 669-3134
(240) 669-3053
Mailing address
3206 TOWER OAKS BLVD STE 220, ROCKVILLE, MD 20852-4254
(240) 669-3134
(240) 669-3053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588131627
NPI
NJ
Enumeration date
10/26/2018
Last updated
11/20/2025
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