| NPI | 1356543961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE ROBERT WISSER Medical Director 609-426-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2009-09-30 |