| NPI | 1316251119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY B VERRICO Physician/Owner 551-278-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MB08210000) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2022-09-08 |