Organization · Type 2 NPI

Renaissance Surgery Center, LLC

Ambulatory Surgical Clinic/Center · Wyckoff, NJ

NPI number 1174884530 Active

Practice location

461 Goffle Rd
Wyckoff, NJ 07481-3003

Fax (201) 857-0948

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

Another provider at this address

Pain & Surgery Ambulatory CenterPain Clinic/Center Wyckoff, NJ NPI 1407977820

NPI record

NPI: 1174884530
Entity type: Organization (Type 2)
Issued: Jun 1, 2012
Last updated: Feb 15, 2017
Status: Active

Other names

<unavail>
International Center for Minimally Invasive Spine Surgery, LLC · doing business as

Authorized official

Mr. Louis G Quartararo, MD
Managing Partner
(201) 857-0720

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About NPI 1174884530

Renaissance Surgery Center, LLC's National Provider Identifier is 1174884530, issued on Jun 1, 2012. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Wyckoff, NJ. The record was last updated on Feb 15, 2017.