NPI | 1043384704 |
---|---|
Entity Type | Organization |
Authorized Contact | SAID SAMRA Authorized Official 732-553-9222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 22900) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2024-06-19 |