| NPI | 1124228648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE ANN JARSEN Billing Manager 856-753-0913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA03260800) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-25 |