| NPI | 1316230642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMRAN U HAQ Owner 856-558-3323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |