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Organization

ESSEX ENDOSCOPY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY E. SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization

Contact information

Practice address
275 CHESTNUT ST, NEWARK, NJ 07105-1570
(973) 589-5545
(973) 589-0073
Mailing address
1A BURTON HILLS BLVD., ATTN: L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
22810
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0252468
NJ
05
9035303
NJ
Enumeration date
08/01/2006
Last updated
09/26/2022
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