| NPI | 1073301578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LARATTA Managing Member 973-979-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |