Organization
TRI-STATE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GARTNER D.O. (OWNER)
(201) 546-1890
Entity
Organization
Contact information
Practice address
3 WINSLOW PL, 1ST FLOOR, PARAMUS, NJ 07652-2709
(201) 546-1890
(201) 546-1893
Mailing address
3 WINSLOW PL, 1ST FLOOR, PARAMUS, NJ 07652-2709
(201) 546-1890
(201) 546-1893
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
25MB06848500
NJ
Other
Enumeration date
02/26/2009
Last updated
04/01/2009
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