| NPI | 1124484019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC D FREEMAN AO, Director/Member 732-906-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2024-02-14 |