Physician / CorporatioN

Ownership Disclosure Notice

Federal regulations require that we inform you in advance of the date of your procedure that the individuals or corporations listed below have a financial interest in Centennial Surgery Center:

                Tusharsindhu, Chauhan, MD

                M. Arif Hashmi, MD

                John Kolnik, DO

                Jay Malamut, MD

                Howard Siegel, MD

                Brenda Velasco, MD

                502 Centennial Blvd., Suite 3

                Voorhees, NJ 08043

 

                Randy Ackerman, MD

                Michael Bernstein, MD

                Rajen Butani, MD

                Mark Fallick, MD

                Louis Keeler III, MD

                Evan Krisch, MD

                2401 Evesham Road, Suite F

                Voorhees, NJ 08043

 

                Mid-Atlantic Pain, Inc.

                   J. Armstrong, MD

                   Mark Brennan, MD

                   Daniel Cho, MD

                   Mark Ghaul, MD

                   Wendy Hasher-Mascoveto, DO

                   Frank Iula, MD

                   Randy Kushner, DO

                   Gerard Monticollo, DO

                   Gary Wnek, MD

                502 Centennial Blvd., Suite 4

                Voorhees, NJ 08043

            Jeffrey Daniels, MD

            Thomas O’Dowd, MD

            Merrick Wetzler, MD

            502 Centennial Blvd., Suite 6

            Voorhees, NJ 08043

 

            Brett Garber, DO

            1765 Springdale Road, C1

            Cherry Hill, NJ 08003

 

            Edwin Emaynado, MD

            Eytan Irwin, MD

            Gary Siemons, MD

            502 Centennial Blvd., Suite 5

            Voorhees, NJ 08043

 

            Thomas Grabiak, MD

            805 Cooper Road, Suite 2

            Voorhees, NJ 08043

 

            Ernest Lazos, DPM

            2301 Evesham Road, Suite 507

            Voorhees, NJ 08043

 

            Sean McMillan, DO

            2103 Burlington-Mount Holly Road

            Burlington, NJ 08016

            Steven Rosen, MD

            4979 Old Street Road, Suite B

            Trevose, PA 19053

 

            Tariq Siddiqi, MD

            900 Sheppard Road

            Voorhees, NJ 08043

 

            Virtua Our Lady of Lourdes Hospital, Inc.

            1600 Haddon Avenue

            Camden, NJ 08103

Correspondence may be forwarded to the following CSC Board Members or Executive Director at

502 Centennial Blvd., Suite 1, Voorhees, NJ 08043:

Jay Malamut, MD - Board Chairman

Randy Ackerman, MD                                       Melissa Zak, RN

Barry Graf                                                           Alan Pope, MD                Gary Siemons, MD

Jeffrey Turek, MBA - Executive Director

CENTENNIAL

SURGERY CENTER

502 Centennial Blvd. Suite 1, Voorhees, NJ 08043

Main: 856-874-0790            Fax: 856-761-3372