| Organization Name: | ADVANCED ENDOSCOPY & SURGICAL CENTER, L.L.C. |
| NPI Number: | 1114965803 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOWARD N. GUSS (MEDICAL DIRECTOR) |
| Mailing Address: | 142 Route 35 Suite 101 Eatontown |
| State: | NJ US |
| Postal Code: | 077243427 |
| Phone Number: | 7329350031 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2006 |
| NPI Last Update Date: | 06/22/2012 |
| 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: | |