| NPI | 1306240460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LEE Medical Director 855-420-8241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NJ 96562) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2015-02-26 |