| NPI | 1205235256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RAGHUNANDAN Director Of Operations 201-367-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2018-02-15 |