Renaissance Surgery Center, LLC
Clinic/Center, Ambulatory Surgical in Wyckoff, NJ. Organization (NPI-2).
NPI number1174884530
StatusActive
Last updated in NPPESFeb 15, 2017
Details
- NPI
- 1174884530
- Entity type
- Organization (NPI-2)
- Legal business name
- Renaissance Surgery Center, LLC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2012
- Last updated
- Feb 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Other names
- International Center For Minimally Invasive Spine Surgery, LLC (Doing Business As)
Practice location
461 Goffle RdWyckoff, NJ 07481-3003
Phone 201-857-0720 · Fax 201-857-0948
Mailing address
461 Goffle RdWyckoff, NJ 07481-3003
Phone 201-857-0720 · Fax 201-857-0948
Authorized official
Louis G Quartararo
Managing Partner
2018570720
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