MORRISTOWN SURGICAL CTR. @ MADISON AVE. LLC; NPI #1902836299

Contact Information

MORRISTOWN SURGICAL CTR. @ MADISON AVE. LLC

111 MADISON AVE
SUITE 401
MORRISTOWN, NJ 07960-6097

Phone: 973-971-6970
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for MORRISTOWN SURGICAL CTR. @ MADISON AVE. LLC

NPI # 1902836299

LBN Legal business name MORRISTOWN SURGICAL CTR. @ MADISON AVE. LLC

Authorized official DAVID FERGUSON - (VICE PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/03/2006

Last updated 02/10/2014 - About 12 years ago

Identifiers

NJ	License #	24052
NJ	Medicaid	8536503

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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