| NPI | 1295855948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MCCANN Director Of Revenue Cycle 848-219-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: ME 36641) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-10-12 |