MEDICARE: ATLANTICARE SURGERY CENTER LLC

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
1	261QA1903X	Ambulatory Surgical Clinic/Center	22246	NJ

General Provider Information

NPI Number	:	1689635757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTICARE SURGERY CENTER LLC

Provider Business Mailing Address
First Line	:	2500 ENGLISH CREEK AVE
Second Line	:	SUITE 100 BUILDING A
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5549
Country	:	US
Telephone Number	:	609-407-2200
Fax Number	:	609-407-2294

Provider Business Practice Location Address
First Line	:	2500 ENGLISH CREEK AVE
Second Line	:	SUITE 100 BUILDING A
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5549
Country	:	US
Telephone Number	:	609-407-2200
Fax Number	:	609-407-2294

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM B AARONS JR.
Credential	:	MD
Telephone Number	:	609-441-8151

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	08/22/2020

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Directions to “ATLANTICARE SURGERY CENTER LLC ” Practice Location

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