Organization
SPECIALTY SURGERY OF MIDDLETOWN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY MEDAVARAM VARMA (MANAGING MEMBER)
(732) 671-5555
Entity
Organization
Contact information
Practice address
1270 ROUTE 35, SUITE 3, MIDDLETOWN, NJ 07748-2014
(732) 671-5555
(732) 671-5502
Mailing address
1270 ROUTE 35, SUITE 3, MIDDLETOWN, NJ 07748-2014
(732) 671-5555
(732) 671-5502
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2008
Last updated
11/21/2019
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