Provider Demographics
NPI:1952328825
Name:AMERICAN SURGICAL CENTER OF WEST ORANGE LLC
Entity Type:Organization
Organization Name:AMERICAN SURGICAL CENTER OF WEST ORANGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:TESTANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-243-5700
Mailing Address - Street 1:61 D MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052
Mailing Address - Country:US
Mailing Address - Phone:973-243-5777
Mailing Address - Fax:973-243-9208
Practice Address - Street 1:61 D MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052
Practice Address - Country:US
Practice Address - Phone:973-243-5777
Practice Address - Fax:973-243-9208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ24023261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical