| NPI | 1164703815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MURPHY Owner 201-851-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX Pending) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |