Organization
MORRISTOWN SURGICAL CTR. @ MADISON AVE. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FERGUSON (VICE PRESIDENT)
(973) 401-6788
Entity
Organization
Contact information
Practice address
111 MADISON AVE, SUITE 401, MORRISTOWN, NJ 07960-6097
(973) 971-6970
Mailing address
200 THE AMERICAN RD, MORRIS PLAINS, NJ 07950-2449
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
24052
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8536503
—
NJ
Enumeration date
07/03/2006
Last updated
02/10/2014
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