| NPI | 1407801509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M JUETTNER Credentialing/Billing 732-222-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-02-16 |