Organization Name: | ALLIANCE SURGERY CENTER |
NPI Number: | 1386000529 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHIKE W OBIANWU (OWNER) |
Mailing Address: | 412 Creek Crossing Blvd Hainesport |
State: | NJ US |
Postal Code: | 080362768 |
Phone Number: | 8567647660 |
Fax Number: | 8567645723 |
NPI Enumeration Date: | 01/04/2016 |
NPI Last Update Date: | 01/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | R24898 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |