Organization
GLEN RIDGE SURGI CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RV BALLEM MD (PRESIDENT)
(973) 783-2626
Entity
Organization
Contact information
Practice address
230 SHERMAN AVE, GLEN RIDGE, NJ 07028-1529
(973) 783-2626
Mailing address
230 SHERMAN AVE, GLEN RIDGE, NJ 07028-1529
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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