| NPI | 1134937097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER B PARK Medical Director 908-930-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2024-12-24 |
| Last Update Date | 2024-12-24 |