| NPI | 1023063344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH REILEY Owner 201-692-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: NJ MA050398) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-01-23 |