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General NPI Number Information
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NPI Number | 1255361259
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Entity Type | Organization
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Legal Business Name | CENTRAL JERSEY SURGERY CENTER LLC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 97 CORBETT WAY
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City | EATONTOWN
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State | NJ
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Zip | 07724-2264
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Country | US
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Telephone | 732-460-2777
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Fax | 732-460-2787
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Provider Business Mailing Address
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Address Line | 97 CORBETT WAY
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City | EATONTOWN
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State | NJ
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Zip | 07724-2264
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Country | US
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Telephone | 732-460-2777
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Fax | 732-460-2787
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Authorized Official
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Title or Position | OFFICER/AUTHORIZED OFFICIAL
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Name | TERESA DANNA
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Credential |
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Telephone | 972-763-3890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 22649
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License Number State | NJ
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