Organization
ENDO SURGI CENTER OF OLD BRIDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIAPPAN MUTHUSAMY MD (MEDICAL DIRECTOR)
(732) 679-8808
Entity
Organization
Contact information
Practice address
42 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2572
(732) 679-8808
(732) 679-7280
Mailing address
42 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2572
(732) 679-8808
(732) 679-7280
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
02/24/2011
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