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Organization

AMBULATORY SURGICAL CENTER OF ENGLEWOOD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAIME GABRIEL GUTIERREZ M.D. (OWNER/PRESIDENT)
(917) 678-0079
Entity
Organization

Contact information

Practice address
25 ROCKWOOD PL, SUITE 105, ENGLEWOOD, NJ 07631-4957
(917) 678-0079
(347) 284-4982
Mailing address
2309 ARTHUR AVE, BRONX, NY 10458-8103
(347) 284-4500
(347) 284-4982

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
NJ

Other

Enumeration date
02/26/2015
Last updated
02/26/2015
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