| NPI | 1376738377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G MOORE Owner 201-689-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NJ MA58638) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2012-05-10 |