| NPI | 1265797740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL MOREHOUSE Physician Assistant 973-786-6692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00073300) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |