| NPI | 1124437637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS VEGA Owner 646-265-8510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NJ 25MA07714000) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2015-02-10 |