Organization
ASC OF NEW JERSEY LLC
Active
Other names
AMBULATORY SURGICAL CENTER OF NEW JERSEY
Organization subpart
No
Provider details
NPI number
Authorized official
JENETHA MORAN (AUTHORIZED OFFICIAL)
(972) 763-3893
Entity
Organization
Contact information
Practice address
5 PROGRESS ST STE 2, EDISON, NJ 08820-1102
(908) 755-9671
Mailing address
15305 DALLAS PKWY STE 1600, ADDISON, TX 75001-6491
(972) 763-3893
(972) 692-6745
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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