| NPI | 1043297872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYN MARIE MEYER Administrator 908-895-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2025-11-04 |