| NPI | 1437229135 |
|---|---|
| Other Name | COUNTY LINE ASC |
| Entity Type | Organization |
| Authorized Contact | MARIA P LUGO Office Mgr 201-295-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-05-13 |