Vanguard Surgical Center, Llc.
NPI #1023350907 in Maywood, New Jersey
Provider Information
- NPI Number
- 1023350907
- Entity Type
- Organization
- Organization Name
- Vanguard Surgical Center, Llc.
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Mar 19, 2013
- Last Updated
- Aug 20, 2013
Practice Location
- Address
- 113 ESSEX ST
- City
- Maywood
- State
- New Jersey
- ZIP Code
- 07607-1020
- Phone
- (201) 251-7725
Authorized Official
- Name
- DR. DANTE A IMPLICITO, M.D.
- Title
- MANAGING MEMBER
- Phone
- (201) 251-7725
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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