| NPI | 1366645467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO G LAZARUS Practice Administrator 732-761-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25MA07345100) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |