| NPI | 1205968633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY J REISMAN Practice Administrator 973-599-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: NJ 25MA04658900) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |