Organization
CENTENNIAL SURGUNIT, LLC
Active
Other names
Centennial Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN BARAINYAK (EXECUTIVE DIRECTOR)
(856) 874-0790
Entity
Organization
Contact information
Practice address
502 CENTENNIAL BLVD, SUITE 1, VOORHEES, NJ 08043-9544
(856) 874-0790
(856) 751-0349
Mailing address
502 CENTENNIAL BLVD, SUITE 1, VOORHEES, NJ 08043-9544
(856) 874-0790
(856) 751-0349
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
22835
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8084009
—
NJ
Enumeration date
08/15/2005
Last updated
08/26/2014
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