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NPI Code Detail

MEDICARE: WEST PARKWAY AMBULATORY SURGERY

MEDICARE: WEST PARKWAY AMBULATORY SURGERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center23218NJ

General Provider Information

NPI Number : 1366441024
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEST PARKWAY AMBULATORY SURGERY
Provider Business Mailing Address
First Line : PO BOX 515
Second Line :
City : POMPTON PLAINS
State : NJ
Zip : 07444-0515
Country : US
Telephone Number : 973-831-5461
Fax Number : 973-831-5203
Provider Business Practice Location Address
First Line : 97 W PARKWAY
Second Line :
City : POMPTON PLAINS
State : NJ
Zip : 07444-1647
Country : US
Telephone Number : 973-831-5461
Fax Number : 973-831-5203
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : CHERYL EZERSKIS
Credential :
Telephone Number : 973-831-5461
Provider Enumeration Date : 07/15/2005
Last Update Date : 09/09/2014

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Directions to “WEST PARKWAY AMBULATORY SURGERY ” Practice Location

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