| NPI | 1023246717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN N LUCAS Administrator 201-367-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 24392) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2014-04-23 |