| NPI | 1376241059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE PETERS President 732-281-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-06-14 |