Provider Demographics
NPI: | 1265481147 |
---|---|
Name: | MANALAPAN SURGERY CENTER, INC. |
Entity Type: | Organization |
Organization Name: | MANALAPAN SURGERY CENTER, INC. |
Other - Org Name: | MANALAPAN SURGERY CENTER, PA(FORMER NAME-REMOVE) |
Other - Org Type: | Former Legal Business Name |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | FELIKS |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | KOGAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 732-617-5990 |
Mailing Address - Street 1: | 50 FRANKLIN LN |
Mailing Address - Street 2: | SUITE 101 |
Mailing Address - City: | MANALAPAN |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 07726-2773 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 732-617-5990 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 50 FRANKLIN LN |
Practice Address - Street 2: | SUITE 101 |
Practice Address - City: | MANALAPAN |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07726-2773 |
Practice Address - Country: | US |
Practice Address - Phone: | 732-617-5990 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-05-09 |
Last Update Date: | 2012-12-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |