| NPI | 1235234055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH V DELLO RUSSO Medical Director 201-384-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2025-02-05 |