| NPI | 1114348976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A WATSON Director Of Residency Training 551-996-8316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA06270300) |
| Enumeration Date | 2013-12-21 |
| Last Update Date | 2013-12-21 |