| NPI | 1053508325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ASHGAR CHUBACK President 201-261-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ MA65556) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00124400) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2019-01-24 |