Organization
SAINT MARY'S AMBULATORY SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KIM M.D. (MEDICAL DIRECTOR)
(201) 585-2911
Entity
Organization
Contact information
Practice address
540 BERGEN BLVD, PALISADES PARK, NJ 07650
(201) 585-2911
(201) 585-2977
Mailing address
540 BERGEN BLVD, PALISADES PARK, NJ 07650-2322
(201) 585-2911
(201) 585-2977
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084361
—
NJ
01
—
2628993
UNITED HEALTHCARE
GA
01
—
311186
HORIZON BCBS
NJ
01
—
A3608737
OXFORD
CT
Enumeration date
03/08/2006
Last updated
08/24/2011
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