Organization
ADVANCED SURGICAL CENTER OF BERGEN COUNTY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. FOX M.D. (MEDICAL DIRECTOR)
(516) 625-6222
Entity
Organization
Contact information
Practice address
1200 E RIDGEWOOD AVE, STE 211, RIDGEWOOD, NJ 07450-3957
(201) 493-1717
Mailing address
1200 E RIDGEWOOD AVE, STE 211, RIDGEWOOD, NJ 07450-3957
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
5634
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5634
AMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.
NJ
Enumeration date
03/11/2015
Last updated
03/11/2015
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