| NPI | 1083179238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VAUGHN Officer 973-251-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2023-03-30 |