| NPI | 1407920853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE E KOPIDAKIS Physician Owner 732-269-2684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NJ 25ma05921000) |
| Enumeration Date | 2006-11-19 |
| Last Update Date | 2007-08-27 |