Progressive Surgical Center LLC
Clinic/Center, Ambulatory Surgical in Englewood, NJ. Organization (NPI-2).
NPI number1164031118
StatusActive
Last updated in NPPESJul 27, 2020
Details
- NPI
- 1164031118
- Entity type
- Organization (NPI-2)
- Legal business name
- Progressive Surgical Center LLC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2020
- Certification date
- Jul 27, 2020
- Last updated
- Jul 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
630 E Palisade Ave Ste 2-100Englewood, NJ 07632-1842
Phone 201-581-7010
Mailing address
630 E Palisade Ave Ste 2-100Englewood, NJ 07632-1842
Phone 201-581-7010
Authorized official
Joshua Rovner
Owner
2012271299
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