Organization Name: | SADDLE SURGERY CENTER CORP |
NPI Number: | 1154673556 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IRINA KAMENETSKIY (MANAGER) |
Mailing Address: | 8 Saddle Rd Suite 204 Cedar Knolls |
State: | NJ US |
Postal Code: | 079271902 |
Phone Number: | 9739987868 |
Fax Number: | 9739987883 |
NPI Enumeration Date: | 10/09/2012 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 25MA07903700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |