NPI | 1366441024 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL EZERSKIS Executive Director 973-831-5461 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NJ 23218) |
Enumeration Date | 2005-07-15 |
Last Update Date | 2014-09-09 |