Organization Name: | CENTRAL JERSEY AMBULATORY SURGICAL CENTER, LLC |
NPI Number: | 1043297872 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARA HOFFMAN (BILLING SPECIALIST) |
Mailing Address: | 511 Courtyard Dr Building 500 Hillsborough |
State: | NJ US |
Postal Code: | 088444255 |
Phone Number: | 9088950001 |
Fax Number: | 9086858833 |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 06/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |