| NPI | 1083773857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON D DONALD Managing Member 732-747-7110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NJ MA46751) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2015-09-10 |