| NPI | 1225096142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE THORNE Administrator 201-968-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 23264) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |