Vanguard Asc, LLC
Clinic/Center, Ambulatory Surgical in Maywood, NJ. Organization (NPI-2).
NPI number1841858024
StatusActive
Last updated in NPPESOct 24, 2024
Details
- NPI
- 1841858024
- Entity type
- Organization (NPI-2)
- Legal business name
- Vanguard Asc, LLC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2019
- Certification date
- Oct 24, 2024
- Last updated
- Oct 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Other names
- Vanguard Surgical Center (Doing Business As)
Practice location
113 W Essex StMaywood, NJ 07607-1023
Phone 201-291-9100 · Fax 201-291-1076
Mailing address
113 W Essex StMaywood, NJ 07607-1023
Phone 201-291-9100 · Fax 201-291-1076
Authorized official
Jonathan Bailey
Officer / Authorized Official
2036091168
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