| NPI | 1235192675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN MARIE BALDUCCI Administrator 201-498-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 23065) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2020-08-22 |