| NPI | 1407953698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J AVERBACH Business Manager 732-531-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN09157900) |
| Additional Taxonomies | 208600000X Surgery |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-09-11 |