Provider Demographics
NPI:1477695336
Name:SOMERSET OUTPATIENT SURGERY, LLC
Entity Type:Organization
Organization Name:SOMERSET OUTPATIENT SURGERY, LLC
Other - Org Name:RARITAN VALLEY SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SASSO
Authorized Official - Suffix:
Authorized Official - Credentials:CASC
Authorized Official - Phone:732-560-1000
Mailing Address - Street 1:100 FRANKLIN SQUARE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-4109
Mailing Address - Country:US
Mailing Address - Phone:732-560-1000
Mailing Address - Fax:732-560-9990
Practice Address - Street 1:100 FRANKLIN SQUARE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-4109
Practice Address - Country:US
Practice Address - Phone:732-560-1000
Practice Address - Fax:732-560-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPENDING261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical