| NPI | 1326282088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DICKERSON Owner 732-567-7350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NJ 25MA07911500) |
| Enumeration Date | 2009-04-26 |
| Last Update Date | 2017-02-20 |