Organization
RENAISSANCE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICKI CAPORINO RN (ADMINISTRATOR)
(862) 247-8080
Entity
Organization
Contact information
Practice address
190 MIDLAND AVE, SADDLE BROOK, NJ 07663-6408
(862) 247-8080
Mailing address
PO BOX 555, SADDLE BROOK, NJ 07663-0555
(862) 247-8080
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
23116
NJ
Other
Enumeration date
10/19/2012
Last updated
08/13/2014
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