| Organization Name: | WEST PARKWAY AMBULATORY SURGERY |
| NPI Number: | 1366441024 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL EZERSKIS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 97 W Parkway Pompton Plains |
| State: | NJ US |
| Postal Code: | 074441647 |
| Phone Number: | 9738315461 |
| Fax Number: | 9738315203 |
| NPI Enumeration Date: | 07/15/2005 |
| NPI Last Update Date: | 09/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 23218 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |