| NPI | 1215528005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISA MILAGROS FERNANDEZ Administrator 973-738-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Additional Taxonomies | 207WX0120X Ophthalmology, Cornea and External Diseases Specialist |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2023-07-27 |