| NPI | 1063675734 |
|---|---|
| Doing Business As | SURGICAL CENTER AT SUN N LAKE |
| Entity Type | Organization |
| Authorized Contact | BAHRAM AHMADI Board Of Managers President 973-715-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2009-04-21 |