| NPI | 1033675681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PETER SUAREZ Owner/Medical Director 201-537-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2021-12-21 |