| NPI | 1376975649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA TADROS Medical Director, CEO 201-408-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NJ 25MA07910000) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-09-19 |