| NPI | 1285032029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIOS ECONOPOULY Doctor 201-863-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 25MD00208800) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |