Provider Demographics
NPI:1487543120
Name:UNITED SURGICAL SOLUTIONS OF WAYNE
Entity type:Organization
Organization Name:UNITED SURGICAL SOLUTIONS OF WAYNE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DORIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LANFRANC
Authorized Official - Suffix:
Authorized Official - Credentials:OPA-C
Authorized Official - Phone:516-502-8400
Mailing Address - Street 1:246 HAMBURG TPKE STE 104
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2159
Mailing Address - Country:US
Mailing Address - Phone:516-502-8400
Mailing Address - Fax:
Practice Address - Street 1:246 HAMBURG TPKE STE 104
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2159
Practice Address - Country:US
Practice Address - Phone:973-790-1025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical