Organization
CENTER FOR SAME DAY SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANGLAM NARAYANAN MD (OWNER)
(973) 941-2960
Entity
Organization
Contact information
Practice address
2 DEAN DR STE 3N, TENAFLY, NJ 07670
(973) 941-2960
Mailing address
2 DEAN DR STE 3N, TENAFLY, NJ 07670-2765
(973) 941-2960
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
R-24621
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N05405160053531
NJ DRIVERS LICENSE
NJ
Enumeration date
05/03/2018
Last updated
08/01/2018
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