| NPI | 1386066728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN VAUGHN Officer 973-251-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery |
| Enumeration Date | 2014-01-18 |
| Last Update Date | 2023-03-23 |