| NPI | 1154613214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID WRIGHT ALTAI Administrator 201-453-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: NY 7434849) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |