Organization
THE MAXILLOFACIAL AND ORAL SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY LUBAS RN, BSN, CNOR (DIRECTOR OF NURSING)
(908) 783-3779
Entity
Organization
Contact information
Practice address
276 BROAD ST STE 2, RED BANK, NJ 07701-2003
(732) 530-1110
Mailing address
276 BROAD ST STE 2, RED BANK, NJ 07701-2003
(732) 530-1110
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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