MEDICARE: EICHLER SURGEYE CENTER

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

General Provider Information

NPI Number	:	1710913439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EICHLER SURGEYE CENTER

Provider Business Mailing Address
First Line	:	50 NEWARK AVE
Second Line	:
City	:	BELLEVILLE
State	:	NJ
Zip	:	07109-1185
Country	:	US
Telephone Number	:	973-751-6060
Fax Number	:	973-450-1464

Provider Business Practice Location Address
First Line	:	50 NEWARK AVE
Second Line	:
City	:	BELLEVILLE
State	:	NJ
Zip	:	07109-1185
Country	:	US
Telephone Number	:	973-751-6060
Fax Number	:	973-450-1464

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. EILEEN T BELTRAMBA
Credential	:	RN, CRNO
Telephone Number	:	973-751-6060

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	09/24/2007

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