| Organization Name: | CENTER FOR AMBULATORY SURGERY, LLC |
| NPI Number: | 1427049352 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILLIP CLENDENIN (PRESIDENT) |
| Mailing Address: | 1450 Route 22 Mountainside |
| State: | NJ US |
| Postal Code: | 070922619 |
| Phone Number: | 9082332020 |
| Fax Number: | 9082339322 |
| NPI Enumeration Date: | 10/31/2005 |
| NPI Last Update Date: | 11/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 22987 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |