NPI | 1255009296 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN MARIE VAUGHN Officer 973-251-1132 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
Enumeration Date | 2021-09-03 |
Last Update Date | 2023-05-02 |