Provider Demographics
NPI:1265799092
Name:NASHUA AMBULATORY SURGICAL CENTER LLC
Entity type:Organization
Organization Name:NASHUA AMBULATORY SURGICAL CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MAJEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:COO
Authorized Official - Phone:603-622-3670
Mailing Address - Street 1:11 WASHINGTON PLACE
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110
Mailing Address - Country:US
Mailing Address - Phone:603-622-3670
Mailing Address - Fax:603-626-9750
Practice Address - Street 1:15 RIVERSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062
Practice Address - Country:US
Practice Address - Phone:603-622-3670
Practice Address - Fax:603-626-9750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center