Organization
OAK & MAIN SURGICENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW S HELLER MD, FACS, FCCP, RVT (OWNER)
(856) 692-7228
Entity
Organization
Contact information
Practice address
907 N MAIN RD, BLDG C, VINELAND, NJ 08360-8200
(856) 692-7228
(856) 692-4155
Mailing address
907 N MAIN RD, BLDG C, VINELAND, NJ 08360-8200
(856) 692-7228
(856) 692-4155
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
22341
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001425000
AMERIHEALTH
NJ
01
—
311096
ALL BLUE CROSS BLUE SHIEL
NJ
05
—
7465203
—
NJ
01
—
962591
ALL AETNA INSURANCES
NJ
Enumeration date
04/26/2006
Last updated
06/20/2011
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