| Organization Name: | ATLANTIC NORTH SURGICAL CENTER, LLC |
| NPI Number: | 1356767289 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAM RAHAT (DIRECTOR) |
| Mailing Address: | 111 Wanaque Ave Pompton Lakes |
| State: | NJ US |
| Postal Code: | 074422101 |
| Phone Number: | 9739708655 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2014 |
| NPI Last Update Date: | 03/21/2014 |
| 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: | |