Organization
MAIN AVENUE CLIFTON SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT POONIA MD (OWNER)
(973) 473-4040
Entity
Organization
Contact information
Practice address
26 THROCKMORTON LN, FLOOR 2, OLD BRIDGE, NJ 08857-2520
(732) 952-5533
Mailing address
1084 MAIN AVE, CLIFTON, NJ 07011-2330
(973) 473-4040
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NJ
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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