| NPI | 1134472343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SICULIETANO Office Mgr 201-489-6520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NJ 25MA08215300) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |