Organization
AMBULATORY SURGICAL CENTER OF NEW JERSEY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER PETER RUSSONIELLO MD (PRESIDENT-EXECUTIVE BOARD)
(908) 668-4410
Entity
Organization
Contact information
Practice address
5 PROGRESS ST, SUITE 2, EDISON, NJ 08820-1102
(908) 755-9671
(908) 755-9675
Mailing address
5 PROGRESS ST, SUITE 2, EDISON, NJ 08820-1102
(908) 755-9671
(908) 755-9675
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
09/03/2009
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