| NPI | 1245514249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER B PARK Owner 732-244-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471C1101X Radiologic Technologist, Cardiovascular-Interventional Technology (Licence: NJ 25MA07085300) |
| Enumeration Date | 2011-10-09 |
| Last Update Date | 2011-10-09 |