| NPI | 1154838977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN JERMANE CHAN Owner 201-370-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |