OrganizationActive
Ambulatory Surgery Center at Old Bridge LLC
NPI 1043384704 · Ambulatory Surgical Clinic/Center · Old Bridge, NJ
Provider details
- NPI number
- 1043384704
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Said Samra, Authorized Official
- License
- 22900 (NJ)
Practice location
400 Perrine Rd
Suite 408
Old Bridge, NJ 08857-2843
Phone: (732) 533-9222
Fax: (732) 553-9227
Mailing address
400 Perrine Rd
Old Bridge, NJ 08857-2843
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2024-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.