| NPI | 1124304258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIAGIO MANNA Owner 609-584-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X (Licence: NJ 25MB06598500) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MB06598500) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |