| NPI | 1023486925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWANO PENNYCOOKE President 732-784-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: NJ 25MA08547000) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |