Peninsula Surgery Center, LLC

NPI #1255636213 in Bayonne, New Jersey

Provider Information

NPI Number
1255636213
Entity Type
Organization
Organization Name
Peninsula Surgery Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Jan 21, 2011
Last Updated
Apr 26, 2013

Practice Location

Address
29 E 29TH ST
ZIP Code
07002-4654
Phone
(973) 729-3276

Authorized Official

Name
MR. DENNIS I. KELLY
Title
CONTRACTED MANAGER
Phone
(201) 620-3636

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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