NPI | 1407133440 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA PELORO Mohs Surgeon 732-995-2967 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 201613-1) |
Enumeration Date | 2011-11-04 |
Last Update Date | 2011-11-04 |