| NPI | 1376662312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE FRANCES CHUBACK Practice Administrator 201-445-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-10-04 |