Organization
VANGUARD ASC, LLC
Active
Other names
Vanguard Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER / AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
113 W ESSEX ST, MAYWOOD, NJ 07607-1023
(201) 291-9100
(201) 291-1076
Mailing address
113 W ESSEX ST, MAYWOOD, NJ 07607-1023
(201) 291-9100
(201) 291-1076
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
10/24/2024
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