Glen Ridge Surgi Center
NPI #1972556900 in Glen Ridge, New Jersey
Provider Information
- NPI Number
- 1972556900
- Entity Type
- Organization
- Organization Name
- Glen Ridge Surgi Center
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 19, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 230 SHERMAN AVE
- City
- Glen Ridge
- State
- New Jersey
- ZIP Code
- 07028-1529
- Phone
- (973) 783-2626
Authorized Official
- Name
- RV BALLEM, MD
- Title
- PRESIDENT
- Phone
- (973) 783-2626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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