| NPI | 1033167671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CLARKE Executive Vice President, Physician 732-765-6317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-09-28 |