| Organization Name: | ROXBURY SURGI CENTER, LLC |
| NPI Number: | 1366713737 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL MATYSEK (CEO) |
| Mailing Address: | 66 Sunset Strip Suite101 Succasunna |
| State: | NJ US |
| Postal Code: | 07876 |
| Phone Number: | 8622448100 |
| Fax Number: | 8622448101 |
| NPI Enumeration Date: | 01/18/2012 |
| NPI Last Update Date: | 04/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 22512 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |