Provider Demographics
NPI:1023316437
Name:HOPEWELL SURGERY CENTER LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:HOPEWELL SURGERY CENTER LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CORSARO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CASC
Authorized Official - Phone:609-537-6300
Mailing Address - Street 1:TWO CAPITAL WAY
Mailing Address - Street 2:SUITE, 250
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-4130
Mailing Address - Country:US
Mailing Address - Phone:609-537-6300
Mailing Address - Fax:609-537-6304
Practice Address - Street 1:TWO CAPITAL WAY
Practice Address - Street 2:SUITE 250
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-4130
Practice Address - Country:US
Practice Address - Phone:609-537-6300
Practice Address - Fax:609-537-6304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical