| NPI | 1164708806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE J LONG Administrator 609-689-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ 25MA04745000) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2020-09-10 |