Healthcare Provider Details

I. General information

NPI: 1689635757
Provider Name (Legal Business Name): ATLANTICARE SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ENGLISH CREEK AVE SUITE 100 BUILDING A
EGG HARBOR TOWNSHIP NJ
08234-5549
US

IV. Provider business mailing address

2500 ENGLISH CREEK AVE SUITE 100 BUILDING A
EGG HARBOR TOWNSHIP NJ
08234-5549
US

V. Phone/Fax

Practice location:
  • Phone: 609-407-2200
  • Fax: 609-407-2294
Mailing address:
  • Phone: 609-407-2200
  • Fax: 609-407-2294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number22246
License Number StateNJ

VIII. Authorized Official

Name: DR. WILLIAM B AARONS JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 609-441-8151