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Organization

THE SURGERY CENTER OF SALEM COUNTY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(877) 892-9813
Entity
Organization

Contact information

Practice address
336 WOODSTOWN RD., SALEM, NJ 08079
(856) 339-4220
(856) 339-4286
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
22463
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001559000
KEYSTONE
NJ
01
2095428
AETNA USHC
NJ
01
31110
BC HORIZON
NJ
01
5889680
AETNA PPO
NJ
Enumeration date
01/05/2007
Last updated
01/31/2008
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