| Organization Name: | NOTTINGHAM SURGICAL SERVICES, LLC |
| NPI Number: | 1306077649 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LACEY DINH (REVENUE CYCLE MANAGER OF ABS) |
| Mailing Address: | 957 Route 33 # 357 Hamilton Square |
| State: | NJ US |
| Postal Code: | 086902727 |
| Phone Number: | 5203238732 |
| Fax Number: | 5202580304 |
| NPI Enumeration Date: | 08/04/2009 |
| NPI Last Update Date: | 12/21/2015 |
| 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: | |