| NPI | 1023312188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SCHRADER-BARILE Owner 609-279-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NJ 25MA07870100) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |