NPI | 1053671024 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIK S LARSEN Dr. 732-966-6317 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NJ 25MB069402) |
Enumeration Date | 2012-05-23 |
Last Update Date | 2016-02-15 |