| NPI | 1104951482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KLUGEWICZ Credentialing Manager 732-212-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2008-04-20 |