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?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical