Organization
MULBERRY AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMENICA M BARRITTA M.D. (OWNER/ DIRECTOR)
(929) 400-2159
Entity
Organization
Contact information
Practice address
393-397 MULBERRY STREET, NEWARK, NJ 07012-3417
(929) 400-2159
Mailing address
PO BOX 9425, NEW YORK, NY 10087-9425
(212) 874-3384
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
25MA07669400
NJ
Other
Enumeration date
02/19/2015
Last updated
05/06/2015
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