Organization
JOURNAL SQUARE SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY DI NARDO (PRESIDENT)
(201) 795-0205
Entity
Organization
Contact information
Practice address
550 NEWARK AVE, UNITS 501, 408 AND 103, JERSEY CITY, NJ 07306-1326
(201) 795-0205
Mailing address
550 NEWARK AVE, 5TH FLOOR, JERSEY CITY, NJ 07306-1326
(201) 795-0205
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NJ
Other
Enumeration date
04/06/2009
Last updated
07/20/2011
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