Organization
LAKEWOOD SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN BAILEY MHA (OFFICER/AO)
(203) 609-1168
Entity
Organization
Contact information
Practice address
1215 ROUTE 70, SUITE 2000, LAKEWOOD, NJ 08701-5947
(732) 719-1800
(732) 719-1801
Mailing address
1215 ROUTE 70, SUITE 2000, LAKEWOOD, NJ 08701-5947
(732) 719-1800
(732) 719-1801
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
23286
NJ
Other
Enumeration date
10/17/2005
Last updated
10/11/2024
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