Broad Street Surgical Center, LLC
NPI #1417972217 in Clifton, New Jersey
Provider Information
- NPI Number
- 1417972217
- Entity Type
- Organization
- Organization Name
- Broad Street Surgical Center, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 13, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1429 BROAD ST
- City
- Clifton
- State
- New Jersey
- ZIP Code
- 07013-4221
- Phone
- (732) 383-4150
Authorized Official
- Name
- MR. KENNETH NESBIHAL
- Title
- BUSINESS MANAGER
- Phone
- (732) 383-4150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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