Organization
ESSEX SPECIALIZED SURGICAL INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER QUINN OD (PRESIDENT)
(732) 750-0400
Entity
Organization
Contact information
Practice address
475 PROSPECT AVE, WEST ORANGE, NJ 07052-4197
(732) 750-0400
(732) 750-1507
Mailing address
562 EASTON AVE, SOMERSET, NJ 08873-1900
(732) 846-2501
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206733
—
NJ
Enumeration date
12/01/2008
Last updated
07/29/2010
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