| NPI | 1154753507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUN LI Presiden 848-863-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 25MA077443700) |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2021-11-09 |