| Organization Name: | TOMS RIVER SURGERY CENTER, LLC |
| NPI Number: | 1023070026 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHERINE L REED (MEDICARE AUTHORIZED OFFICIAL) |
| Mailing Address: | 1430 Hooper Avenue Suite 301 Toms River |
| State: | NJ US |
| Postal Code: | 087532895 |
| Phone Number: | 7322402277 |
| Fax Number: | 7322405428 |
| NPI Enumeration Date: | 04/05/2006 |
| NPI Last Update Date: | 03/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 22908 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |