| NPI | 1255352712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL LONGOBARDI President 201-343-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 23995) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |