| NPI | 1205264967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON DONALD Owner 732-440-8707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |