OFFICIATES
(NY, NJ, NJ, NY, NJ, NY, PA) 8.00 00 0000 INITIAL COMMENTS PRINTED: 10/21/2011 Form APPROVED New Jersey Department of Health & Senior Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X2) PROFESSIONAL ASSIGNMENT (NY, NY, PA) 8.00 00 0000 INITIAL COMMENTS PRINTED: 10/21/2011 Form 1 1 STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X2) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER: (X5) INITIAL COMMENTS REQUEST FOR COMPLIANCE
(NY, NY, NJ, NJ, NY, NJ, NY, PA) 8.00 00 00 000 INITIAL COMMENTS REQUEST FOR COMPLIANCE
(NY, NY, NJ, NJ, PA) 9.00 01 00 000 INITIAL COMMENTS REQUEST FOR COMPLIANCE
(NY, NJ, PA) 10.00 01 01 000 INITIAL COMMENTS REQUEST FOR COMPLIANCE
(PA) 11.00 01 01 000 INITIAL COMMENTS REQUEST FOR COMPLIANCE
(PA) 12.00 01 01 000 INITIAL COMMENTS RESPONSE REQUEST FOR COMPLIANCE
(NY, NJ, PA) 13.00 01 01 000 INITIAL COMMENTS RESPONSE RESPONDENT
(NY, NJ, PA) 14.00 01 01 000 INITIAL COMMENTS RESPONSE RESPONDENT
(NY, NJ, PA) 15.00 01 01 000 INITIAL COMMENTS RESPONDENT
(NY, NJ, PA) 16.00 01 01 000 INITIAL STATEMENT OF DEFICIENCIES
(NY, NY, NJ, NJ, NY, NJ, NY, PA) 17.00 01 01 000 INITIAL STATEMENT OF DEFICIENCIES
(NY, NY, NJ, NJ, NY, NJ, NY, PA) 18.00 01 01 000 INITIAL STATEMENT OF DEFICIENCIES
(NY, NY, NJ, NJ, NY, NJ, NY, PA) 19.
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PRINTED: 10/21/2011 Statement of Deficiencies Citation Summary Sheet For: SURGICAL SPECIALISTS AT PRINCETON (24430 / NJ24430) Survey Event: U37W11, Exit Date 03/25/2011 Citations Cited This Visit
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