| NPI | 1407953698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J AVERBACH Business Manager 732-531-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| 363L00000X Nurse Practitioner (Licence: NJ 26NN09157900) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |