| NPI | 1396033924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY W HENSLE Owner 201-695-3362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: NJ 25MA03420300) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |