Provider Demographics
NPI:1699868695
Name:SILEN SURGICARE CENTER, PA
Entity type:Organization
Organization Name:SILEN SURGICARE CENTER, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:SILEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-779-4242
Mailing Address - Street 1:1117 ROUTE 46E
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013
Mailing Address - Country:US
Mailing Address - Phone:973-779-4242
Mailing Address - Fax:973-779-0146
Practice Address - Street 1:1117 ROUTE 46 E
Practice Address - Street 2:SUITE 301
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013
Practice Address - Country:US
Practice Address - Phone:973-779-4242
Practice Address - Fax:973-779-0146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3198308Medicaid
NJ3198308Medicaid