Pavonia Surgical Center, LLC
NPI #1396844429 in Union, New Jersey
Provider Information
- NPI Number
- 1396844429
- Entity Type
- Organization
- Organization Name
- Pavonia Surgical Center, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Feb 5, 2024
Practice Location
- Address
- 855 LEHIGH AVE STE 203
- City
- Union
- State
- New Jersey
- ZIP Code
- 07083-7631
- Phone
- (201) 216-1700
Authorized Official
- Name
- LAUREN A MAGNIFICO
- Title
- VP, ASC OPERATIONS
- Phone
- (201) 216-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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