Organization Name: | HARRISON ENDO SURGICAL CENTER LLC |
NPI Number: | 1013143007 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANICE L GACCIONE (MANAGER) |
Mailing Address: | 620 Essex St 3rd Floor Harrison |
State: | NJ US |
Postal Code: | 070292134 |
Phone Number: | 9737132420 |
Fax Number: | 9739423295 |
NPI Enumeration Date: | 06/03/2009 |
NPI Last Update Date: | 06/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |