Provider Demographics
NPI:1255618468
Name:MCBRIDE SURGICAL CENTER, LLC
Entity type:Organization
Organization Name:MCBRIDE SURGICAL CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NADIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOU-SAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-837-6150
Mailing Address - Street 1:1167 MCBRIDE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2556
Mailing Address - Country:US
Mailing Address - Phone:973-837-6150
Mailing Address - Fax:973-837-6149
Practice Address - Street 1:1167 MCBRIDE AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-2556
Practice Address - Country:US
Practice Address - Phone:973-837-6150
Practice Address - Fax:973-837-6149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center