Organization
WEST ORANGE SURGICAL CENTER, LLC
Active
Other names
Mountain Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JAMES TRICOLI (MANAGER)
(407) 947-3080
Entity
Organization
Contact information
Practice address
375 MOUNT PLEASANT AVE STE 210, WEST ORANGE, NJ 07052-2751
(973) 736-3390
Mailing address
652 PALM SPRINGS DR, ALTAMONTE SPRINGS, FL 32701-7838
(407) 332-9871
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
24393
NJ
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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